FWH Program Request
Email *
Group/School Name *
Your Name *
Phone Number *
Email *
Address of Event *
Will the event be indoors or outdoors? *
What dates and times are you interested in? *
Approximately how many and what age range are the attendees? *
Type of presentation? *
If you would like the PowerPoint presentation, what AV equipment do you need us to bring?
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If you would like one of our formal programs/lectures, which one are you interested in? 
The donations from our programs help us cover the costs of caring for the residents, education staff, and travel related expenses. 

Generally is is:
$125 for K – 12 public schools
$150 for programs 15 miles or less (generally Palm Shores, Melbourne, West Melbourne, Viera, Cocoa, Satellite Beach, Indian Harbour Beach, & Indialantic)
$175 for programs 15.1 – 35 miles (generally Titusville, Cape Canaveral, Palm Bay, Grant)
$200 for programs 35+ miles (Vero Beach)

If your group is planning a donation drive or a fundraiser for the wildlife hospital, we will waive the fee. 
 *
Anything else we need to know?
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