Name

Phone Number

Email Address

Program Selection Program Selection Information Booth (such as for a fair) Animals of the Endangered Wolf Center Animals in My Backyard Animal Behavior Caught in a Food Web Anti-Bullying Short presentation about the Endangered Wolf Center (10-30 minutes) Long presentation about the Endangered Wolf Center (over 30 minutes)

Please select at least two preferred dates (Tuesdays and Weekends are best for Outreach but we are flexible)

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Second Choice

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Preferred Time (can select more than one) Preferred Time (can select more than one) Morning Afternoon

Age/Grade Range

Group Size (including chaperones, we require at least 1 per every 10 students) Group Size (including chaperones, we require at least 1 per every 10 students) 1-25 26-50 51-75 76-100

For all programs except the Informational Booth, is there a screen with HDMI hookup available for the presentation or will we be presenting without a technological component?