Education Request Form
Thank you for your interest in an education program with the Wyoming Game and Fish Department! We ask that all program requests be submitted 30 days in advance. We fill as many requests as possible, and flexibility in your dates is helpful.
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Email *
What is your name? (First and Last) *
What is your email? *
What is your phone number? *
What is the best way to contact you? *
What organization or school district(s) are you affiliated with? *
Required
If you selected "Other" in the previous question, please share what organization you are affiliated with.
What date would you like this program?
 *
MM
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DD
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YYYY
If this program is over multiple dates, please indicate the additional dates below.
Please share an alternative date, if the previous date is flexible.
MM
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DD
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YYYY
Preferred start time for the requested program.
 *
Time
:
Preferred end time for the requested program. *
Time
:
In what city will your program take place? *
What is the address of your program's location? *
What technology, if any, do you have available for presenters? (i.e. a computer and projector)
*
How many classes or rotations will this program entail? *
How many participants are in each class or rotation? *
 *
Please select all appropriate grades of the program participants.
*
Required
Please select the topic that you would like covered for the requested program.
 *
Required
If you selected "Other" in the previous question, please share what topic you would like covered.
By selecting the "Yes, I agree" box below, you are acknowledging that you or your staff will be present and responsible for behavior management for the duration of the presentation.
 *
Please give a brief description of your event.
 *
Are you interested in receiving more information about our upcoming education initiatives? Please select which programs are of interest below.
A copy of your responses will be emailed to the address you provided.
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