Education Program Request

District Education Form

Name 

*School/Organization 

*Only groups within Hamilton County are eligible for District education programs.

Address 

Email 

Phone 

Program Classroom  Field Trip  Assembly   Adult Lunch & Learn

Which specific program interests you? 

# of participants 

Grade Level 

1st Preferred Date/Time 

2nd Preferred Date/Time 

Is your school registered with our RAP (Recycling Assistance Program)?  Yes   No   Don't know

Additional Notes or Questions



Security Measure