Event Requests

Your Name *

First

Last

Primary Contact Number *

Secondary Contact Number

Name of organization, if applicable

Email address of person organizing/requesting event *

I would like this event to be: *

Hosted at L.E.A.R.N.'s Elm Grove facility
Hosted at my organization's venue
Hosted at a different venue

If at your venue, is the space allocated for L.E.A.R.N.- *

Inside
Outside
To be discussed

If at your venue, please provide facility address

Please provide an address and brief description of the venue. Be sure to mention whether this is an indoor or outdoor event, and how much space is provided.

Estimated number of attendees

Age range of audience

Primarily Under 10 years of age
Primarily Tweens and Teens
Primarily Adults
All Ages

Type of event requested *

Are you wanting a lecture, animal interaction, time for a school group to come by, etc.? Describe what you are asking for here.

Date Requested *

If multiple, list all. If open, list "Open." If date is to be discussed, please list any salient information, such as days of the week available, etc.

Duration *

Please list the desired start and end times. If time is to be discussed, please list any salient information, such as morning or evening, etc.

L.E.A.R.N. has many events throughout the year.