Request Form

THIS FORM SERVES AS A REQUEST TO SCHEDULE AN ANIMAL OUTREACH FROM THE GREENSBORO SCIENCE CENTER. THIS IS NOT A RESERVATION UNTIL YOU RECEIVE A CONFIRMATION EMAIL FROM OUR EDUCATION DEPARTMENT.

Requests are processed in the order they are received. If you do not hear from us within 2-3 business days of your submission, email jbierman@greensboroscience.org or call (336) 288-3769 ext. 1315.

Our animal outreach program is offered summer (June-August) weekday mornings Tuesday-Friday only. Cost is $100 for up to 45 minutes with 3 animals.

- Children must be age 3 years and up.
- The group must be no larger than 60 in number.
- The site must be indoors in a space with no other animals, including classroom pets.
- Sites must be within a 35 mile radius of the Greensboro Science Center.

Round trip mileage will be charged at the IRS business standard mileage rate as calculated from Google Maps.

* 1. School or Organization Information

* 2. Company or Organization Phone Number

* 3. What type of group are you?

* 4. How many programs are you requesting on this date?

* 5. Please provide your first choice of date for your Animal Outreach program. Please remember, programs are only available Tuesday - Friday.

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* 6. Please provide your second choice of date for your Animal Outreach program. Please remember, programs are only available Tuesday - Friday.

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* 7. Please provide your third choice of date for your Animal Outreach program. Please remember, programs are only available Tuesday - Friday.

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