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Program Request Form

Thank you for your interest in a Cascades Raptor Center program!

Please submit at least 2 weeks in advance to ensure we can schedule your group.

Select the program option that best meets your needs:

Standard Education Program ($175 minimum)

Extended Education Program ($245 minimum)

Personal Tour ($250 non-members/$200 members)

Ultimate Raptor Experience ($400 members/$450 non-members)

Not Listed (We are open to ideas! Let us know what you are looking for below.)

Please select a program theme. *

Raptors of Oregon

Raptors of North America

All About Owls

Raptor Adaptations

Please tell us what date, days of the week, and times work for your program (include 3 or 4 options):

NOTE: Programs at the Raptor Center are not available on Mondays.

Please provide multiple dates you can schedule the program. *

Please provide multiple times you can schedule the program. *

Who will attend this program?

Number of children aged 2-12:

Number of students older than 12:

Number of adults:

Grade level or age of audience:

Other options not mentioned above:

Program contact and invoicing

Name *

First Name

Last Name

Email *

Verify Email *

Confirm Email *

Verify Email *

Primary Contact Phone *

Please provide a phone number for the individual who will be the primary contact for your program.

Organization or School Name (if applicable)

Billing Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

How did you hear about the Raptor Center?

Knowing how you learned about the Cascades Raptor Center's education programs will help us reach others. Thank you for sharing your story.