Education Request Form
Please submit this form to request a lesson.
Presentations and workshops are limited to Lucas County residents. Is this program for residents of Lucas County?
Yes
No
Primary Contact - Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Location program will take place
Name of Location
Address
City
State
Postal / Zip Code
Grade Level / Age
Estimated Number to be Served
Date Requested:
/
Month
/
Day
Year
Date
1
2
3
4
5
6
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8
9
10
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12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Back-Up / Additional Dates:
What type of program(s) are you interested in?
Classroom programming on our website:
Recycling Symbol (PreK)
Fred the Fish (PreK - 4th grade)
Riley's Adventure Puppet Show (K - 3rd grade)
In Its Place: Waste Sorting (K-5th grade)
Do the Rot Things: Composting (K - 8th grade)
Why Trees Matter: Papermaking (2nd - 8th grade)
Don't Waste Lunch: Pack to Reuse (2nd - 8th grade)
Recycling Resources: Natural Resources (3rd - 8th grade)
MRF in Action (6th - 8th grade)
Working with Trash Presentation (6th - 12th grade)
Correct Recycling Workshop (9th grade - Adult)
Living More Sustainably (9th grade - Adult)
Other
Comments about your programming needs:
Submit
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