The Wilderness Center, Inc.
PO Box 202
Wilmot, OH 44689-0202

Education Program Reservation Form

Education programs are available Tuesday-Saturday, year round. Sorry, no Sunday or Monday programs.
You may submit this form by pressing the 'Submit' button below
- OR -
Print, fill out and mail this form,
phone us for reservations, or
send us an email with this information to reserve your space. 


                       School:     District: 
                     Address:        City:   Zip:   
Person submitting form:    Day Phone: 
        Teacher(s) Name:      Grade:   # of students: 
                        Name:      Grade:   # of students: 
                        Name:      Grade:   # of students: 
                        Name:      Grade:   # of students: 
                        Name:      Grade:   # of students: 
     Approx. # of adults:  Min. of 1 per 15 students at TWC; 1 per class at your site. (No fee for adults.) 
                    
 Date preferred - 1st choice:       We will not consider another date: 
                         2nd choice:      We will consider another date:
                         3rd choice: 

Place of Program - 
          TWC:    Time of arrival TWC:    Depart from TWC: 
        School:   Time of 1st program:   # of presentations: 
         Other:   Time of 1st program:   # of presentations:  Place: Address: 
				
              Programs: 

Are there any concepts you want us to stress?:

Payment - This school is covered by a TWC contract with:  district.
               This school is noncontract. We will pay on arrival:  OR  Send fee statement to: 
               This program qualifies for a Rent-a-Naturalist discount:  OR TWC 6-Pack discount: 

                 TWC is happy to work with special classes/students. Please advise of any special needs.
		 Email Address:




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Home Page The Wilderness Center, Inc. - P O Box 202 - 9877 Alabama Ave SW - Wilmot, Ohio 44689 - (877) 359-5235