|
Wonders of Wildlife -- Program Request Form
Just print, complete and send this form
to:
N.H. Fish and Game
Outdoor Education Unit
11 Hazen Drive
Concord, NH 03301
or Fax to: 603-271-1438
Deadline For Application:
September 30 for programs October through February.
February 25 for programs April through June.
| Organization |
_______________________________________ |
| Contact person |
_______________________________________ |
| Mailing address |
_______________________________________ |
| City, state,
ZIP |
_______________________________________ |
| Grade level |
_______________________________________ |
| Phone (day/eve) |
_______________________________________ |
| email address |
_______________________________________ |
Note: Please, one program per class per
year. Space in all programs is limited. Participants will be accepted
on a first-come, first-served basis. Reservations accepted only
by mail. Programs are scheduled only after application deadline
has passed. A teacher must be present with the students during the
program. A docent will contact you to finalize schedule.
| Teacher's name |
_______________________________________ |
| Grade |
_______________________________________ |
| # students (max.
30) |
_______________________________________ |
| Program (check
one) |
____Hab ____End ____PEco ____Wet |
| Program date |
(Month) ______________
AM PM |
|
