WRL Event Request Form
Organization Name: 
Point of Contact: 
Contact Phone: 
Contact Email: 
What type of program are you looking for?: (i.e. how to live with wildlife, bird identification, reptiles, raccoons, etc...) 
Date & Time: 
Alternate Date & Time: 
Number and age of attendees: (i.e. 20 first grade students, 15 girl scouts 9-12 years of age, 40 senior citizens, etc...) 




Programs are free of charge, but donations to the Wildlife Rescue League are always welcome.