2. Contact First Name*
3. Contact Last Name*
5. Contact Email*
6. Contact Phone*
8. Troop or Group Name*
10. Scout Level*

    ex. "Brownie", "Weeblo" ("n/a" if does not apply)

12. How Many Children to Attend?*
13. How Many Adults to Attend?*
15. Age Range of Children*
17. Which of the following are you/your group interested in?*

    1. Donation Drop Off & Tour (~20 min.) Great for groups or individuals who have collected donations for the animals at the center.
    2. Youth Service Day (~2 hrs.)
    3. Brownies Pet Care Badge Class (~90 min.)
    4. Bear Scouts Critter Care Elective (~90 min.)
    5. Canine Advocates Class (~2 hrs.)
    6. Other

    Check all that apply.

18. Preferred Day(s) of the Week:*

    1. Monday
    2. Tuesday
    3. Wednesday
    4. Thursday
    5. Friday
    6. Saturday (limited availability)

    Check all that apply.  Not available on Sunday.

20. If "Other", Please Explain
Leave This Blank:


22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

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