EDUCATION Group Distancing Programs Reservation Form Please enable JavaScript in your browser to complete this form.Attendees & Program OptionsProgram(s)Choose One...T.W.A.N.G. on the DL: Camp-y Conservation Critters (age 8-11)T.W.A.N.G. on the DL: Conservation Conundrum (age 12-18)Program OptionChoose One...3 sections spread across 3 days3 sections taught in 1 dayPlease select the maximum number of students that might attend. We understand that these numbers are subject to change.Choose One...1-1516-3031-4546-6061-7576-9091+Group & Contact InformationOrganization Name *Type of OrganizationChoose one...Public SchoolPrivate SchoolGirls ScoutBoy ScoutOtherPrimary Contact Name *FirstLastPrimary Contact Email *Primary Contact Phone *Secondary Contact Name *FirstLastSecondary Contact PhoneOrganization AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeOrganization PhoneDoes your group include underserved communities? Please review the following options and select ALL THAT APPLY to your group. Low IncomeFemaleEthnic MinorityCognitive DisabilityPhysical DisabilityOtherThis is optional, but your selections are used to better develop our programming. Disclaimer: this data is only for Fossil Rim Wildlife Center's records.Has your organization ever been to Fossil Rim?YesNoWhen?Did your organization participate in an education program?YesNoWhich education program(s)?How did you find out about Fossil Rim?Dates & Special InstructionsPreferred DatePlease select the date your group would prefer to visit with Fossil Rim. Please note this is a request and that dates are not actually reserved until availability is confirmed and deposit is received.Alternative DatePlease select an alternative date in the event your preferred date is unavailable. Please explain how we can best serve your groupAny Additional NotesMessageSubmit