Program Request Form

Please fill in the form below and click send to complete. The education department will contact you to complete your registration. You may also print the application by clicking here and fax it (205)836-3960, or call (205)833-8264 ext. 13.

Group Name:
School District:
Name of person in charge of registration:
Phone Number:
E-mail:
Do you want us to come to you (Traveling Naturalist) or do you want to come to us (Living Mountain)?

When would you like to come? (Please note that your date will have to be finalized by the education director.)

Which program would you like? (see the Field Trip Options page)

How many students are you planning on bringing? Large groups might need to plan on coming over several days.

How many adults will be coming?
What grade are you students in?
What is the best way to contact you to complete this registration?

Program Request Form

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