The Wilderness Center


Program Request Form
Please tell us about your group so that we can build a program that fits your need.

Name of School, Group, or Organization (if a homeschool group, please enter the name of your co-op or "homeschool") *

Number of Youth Participants *

Number of Adult Supervisors from your group

Grade Level or Age of Participants (give a range if mixed group) *


Program Location Requested (if not at TWC)

Requested Program Date (first choice) *
Requested Program Date (second choice) *

Requested Program Start Time *

What programs are you interested in? Please refer to our Program Catalog for descriptions and check all that apply. *	Barnaby’s Neighborhood Wet and Wild Pond/Stream Collection Adventures With Incredible Insects! Investigating Soils Stop the Insect Apocalypse! The Tree Lovers Guide Themed guided hike Planetarium show Custom Program Unsure (We'll talk you through it!)

Will your group be eating lunch at TWC? *

What are your goals for the program?

Any special needs, logistical needs, or requests?

Contact First Name *
Contact Last Name *
Contact Email *
Contact Phone *

Billing Address *
City *
State/Province *
Zip *

Neon CRM by Neon One

Timeout Warning