In-person Youth Presentation Request : Hawaiian Humane Society

Contact Name:*

Organization, School or Business:*

Email:

Phone:*

Alternate Phone:

Mailing Address:*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Presentation Address:*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Parking Instructions:*

Please provide any applicable notes/instructions so that our presenters can plan accordingly.

Requested Date:*

Alternate Date:*

Requested Time:

:

Grade Level*

Select the grade level(s) of the students that will be attending the presentation.

Number of Attendees in Elementary School:

Number of Attendees in Middle/High School:

Which of the Following Will Be Provided?

Screen
Projector
Laptop
Speakers
Microphone
Parking

Requested Topic:

Tails of Kindness: Empathy (grades 1 – 5)
Responsible Pet Ownership (grades 1 – 5, maximum 40 students)
Careers with Animals (grades 3 – 12)
Animal Welfare (grades 6 – 12)
All About Cats (grades 6 - 12)

Would you like a Pet Visitation Team to attend this presentation? Pet Visitation Teams include a volunteer and his or her well-behaved pet. We cannot guarantee that a Pet Visitation Team will be available.

Yes
No

Please provide the check-in procedure for guests at your school or organization:

Is there anything else we should know about this presentation request?

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In-person Youth Presentation Request

Youth Presentation Request Form