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Field Trip Program Request
Please fill out the following request form and we will reach out within a week.
Questions? Email tlunsford@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
Please select your first choice of a date
(we suggest Thursdays or Fridays 10:00-11:30 am):
*
MM
/
DD
/
YYYY
Please select your first choice of a time on the above date (between 10:00-5pm Mon-Fri):
*
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 (max 24):
Your answer
Grade level:
Your answer
Lesson 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 $150 for up to 24 children and am willing to pay at the time of registration.
*
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