Cultural Sharing Box Reservation Form

Cultural Sharing Box Reservation Form

Reservation Form
Cultural Sharing Boxes

We are excited to share our new Cultural Sharing Boxes. These boxes will help deepen your students’ understanding through hands-on learning experiences focused on the Northwest Coast.

Each box includes a carved cedar mask, miniature button blanket, ravenstail weaving sampler, miniature bentwood box, abalone shell, ermine, wood samples, cedar bark, and more.

Please complete the Form below in it's entirety.

* Note, these boxes are free to schools providing they will pick up and return the boxes from Lelooska Cultural Center on the dates they agreed to, and that they are returned in the condition with which they were received.

* If you are needing them to be delivered and picked up from your school (only available in Clark/Cowlitz counties) by a staff member of the Lelooska Foundation, please make a donation to Lelooska Foundation of $100 to cover the cost of time/travel.

By completing this form, you are agreeing to these terms.
School Name*
Teacher Name*

First NameLast Name
Teacher Email*
example@example.com
Teacher Phone*
Grade Level*
School PHYSICAL Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School Phone*
Total number of people that will be using the box:*
Including all students and staff.
Reservations are Thursday to Thursday. Please note the dates that you are interested in reserving, you will receive additional correspondence to confirm if your date is available.
First Choice Date Reservation*
Second Choice Date Reservation*
I am receiving my Cultural Sharing Box:*

By picking up and dropping off in personBy delivery from Lelooska Foundation Staff, I am making my donation now.Other, please clarify in "Additional Comments" box
Please leave any additional comments:
Should be Empty:

Cultural Sharing Box Reservation Form

Reservations are Thursday to Thursday. Please note the dates that you are interested in reserving, you will receive additional correspondence to confirm if your date is available.