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Classroom Visit Request
Please fill out the following request form and we will reach out within a week.
Questions? Email education@humanecharlotte.org
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* Indicates required question
Teacher/Contact Name
*
Your answer
Email
*
Your answer
Phone number
Your answer
School/Organization
*
Your answer
Address
*
Your answer
Please select your first choice of a date
(classroom visits are offered Monday-Friday 9am-4pm):
*
MM
/
DD
/
YYYY
Please select your first choice of a time on the above date (between 9am-4pm):
*
Time
:
AM
PM
Please select your second choice of a date:
*
MM
/
DD
/
YYYY
Please select your time on the 2nd choice date:
*
Time
:
AM
PM
Any other dates/times that work for your class, please list them here:
Your answer
Number of children:
Your answer
Grade level(s):
Your answer
Topics of interest:
Pet Care 101
Breed ID
Safety Around Animals
Community Service and Advocacy
Other:
Any other information we need to know?
Your answer
I understand there is a fee of $75 for a classroom visit and am willing to pay at the time of registration. I also understand an animal ambassador is not guaranteed.
*
Yes
Required
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