virtual program interest form

Thank you for your interest in our virtual programming! If you have any questions at all, please email Noelle at noelle@piedmontwildlifecenter.org or call us at 919-489-0900.

Name

First Name

Last Name

Phone Number

School

Time Zone

We are located in EST, but love visiting our friends in other time zones!

Grade Level of Participants

Experiences You're Interested In

Remarkable Reptiles (15 minutes, $35)

Mammal Mania (20 minutes, $40)

Interactive Owl (10 minutes, $50)

Interactive Raptor (20 minutes, $75)

Classroom Experience (40 minutes, $150. Choice of 3 raptors, 3 animals, or a combination)

Bundle option: Remarkable Reptiles, Mammal Mania, and Classroom Experience with 3 raptors (3 separate visits, $215)

First and Second Date Choices

Preferred Time(s)

Number of Participants

We are able to do large (~50 participants) programs, but please note that students may not have time to ask individual questions in groups larger than 30.

Virtual Meeting Link

Payment Plan

How did you hear about us?

Anything else we may need to know?