Request Form for Public Education

This online form will allow you to send your request to our Community Educator for review and scheduling.

Please fill out all required information; this helps us effectively serve your needs. Once requests are received, the information provided is verified for staff availability.

To better serve you, we would like a 10-day notice prior to your event.

Please allow 2-3 days for us to confirm the event with you. If you have any questions, please call (336) 591-4477.

Thank you!