Summer Reading Program

Library Program Request Form

* Indicates required field

Your Name: *

First

Last

Library Name (or other organization): *

Mailing Address (please include city, state, zipcode) *

Program Site Address (if different than mailing address) *

Phone Number: *

What dates are you interested in? (please list 3 possible dates) *

Untitled *

Douglas-Hart Nature Center will contact you by phone within a few business days of receiving your program request. Dates fill, so please schedule early.
The following details will be asked for in order to book your program:

Approximately what ages or grades do you expect to attend? Estimating is ok.
Approximately how many children do you expect to attend? Estimating is ok.
What time would you like the program to begin? Program last 50-60 minutes, but can be shortened by request.

Additional Comments *

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