Online Small Group Guided Walk Registration

Contact Info
Primary Contact Name*
First Last
Primary Contact Email*
Enter Email Confirm Email
Primary Contact Mobile Phone*
Are you a member?*
Name of adult in charge of students*
First Last
Mobile phone for adult in charge of students*
Email address for adult in charge of students*
Technology Information
What video conferencing platform does your district allow?*
Will this visit be with students in a classroom or with students at their homes?*
If on individual tablets, will the teacher have control of the tablets?*
School Group Information
School Name*
Address*
Street Address Address Line 2 City State ZIP Code
School Phone Number*
Classroom Phone Number*
School District (If Applicable)
What grade level?*
What kind of school are you from?*
- Public School
- Public School (Title I)
- Private School
- Faith-based School
- Home School
- Other
We welcome all to the Wildflower Center. Please let us know if any of your students have special needs.
Virtual Walk Details
Virtual Small Group Guided Walks are available Monday through Friday.
Select Desired Date*
MM slash DD slash YYYY
Select Alternate Date*
MM slash DD slash YYYY
Select Desired Time*
Select Alternate Time*
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Contact Info