Pup Talk/School Outreach Program/Onsite Field Trip/Tour Request

Pup Talk/School Outreach Program/Onsite Field Trip/Tour Request
Disclaimer

*PLEASE READ FIRST*

The Arizona Humane Society offers onsite and offsite education programs that provide both youth and adults with an understanding of the lifesaving work AHS does in our community.

All programs provide age/grade appropriate lessons and are easily customized to fit the needs of your group.
- Programs are provided free of charge to Title 1 schools in Maricopa County.
- All onsite programming (field trips/ tours) are facilitated at our Nina Mason Pulliam Campus for Compassion (1521 W. Dobbins Road, Phoenix, AZ, 85041).
Do the program specifics above align with your expectations for your educational experience?

Pup Talk/School Outreach Program/Onsite Field Trip/Tour Request
Name

First Name Last Name
Phone Number

Area Code Phone Number
Email
example@example.com
Expected Attendance
Requested Date

Month Day Year
Date
Requested Time

: Hour Minutes AM/PM Option
What type of program are you interested in booking?

Pup Talk Offsite Classroom Outreach Onsite Field Trip Onsite Tour
School Name:
School/Group Name:
Group Name:
District:
Is this a Title 1 school in Maricopa County?

Yes No
Age range of children/Grade level:
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Postal / Zip Code
Which program topic are you most interested in?

Pet Talk Classy Critters Animal Doctors Animal Rescue Squad Too Much of a Good Thing Animal Advocates 101 Custom Topic
Would you like to add on 'Reading Fur Fun' - a half-hour of reading and interaction with our dogs and cats for an additional $50.00?

Yes (onsite fieldtrip will be extended to 2 hours) No (program will remain 1.5 hours)
Special Requests/Accommodations
How did you hear about us?

Pup Talk/School Outreach Program/Onsite Field Trip/Tour Request
We're sorry the Pup Talk/School Outreach Program/Onsite Field Trip/Tour Request does not meet your expectations. Please check out our alternative youth service learning packet, cuddle bunch and reading fur fun programs.
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