Survey - Ready Reader Class Registration - Humane Society of Missouri

Ready Reader Class Registration

Ready Readers Program with the Humane Society of Missouri

Education Programs take place at HSMO's Macklind Ave. Headquarters ONLY, from 10:30-12:00 pm for 3-5 year olds on your chosen dates. Bus transportation to HSMO for Ready Readers is provided free of charge. Click for map to 1201 Macklind Avenue in St. Louis.

Please complete the following information below to help us schedule your program.

PLEASE NOTE: Completion of this form does NOT confirm your field trip. A representative from HSMO's Education Department will contact you to confirm all details.

*1.

Question - Required - Name of preschool/organization

*2.

Question - Required - Address (Street, City & Zip) and where the bus should pick-up the students.

*3.

Question - Required - Please provide 3-4 dates that would work for you:

*4.

Question - Required - Approximate number of attendees (do not include chaperones) for your visit (max 30):

*5.

Question - Required - Number of chaperones? (1 per 10 kiddos)

*6.

Question - Required - Ages of attendees:

*7.

Question - Required - Any special needs we need to be aware of in order to ensure the best experience for your group? If not, please enter NONE, as this is a required field.

*8.

Question - Required - Please specify if you require harnesses Yes or No:

9.

Contact Information


*	First Name: Required
*	Last Name: Required
*	Email: Required
*	Phone Number: Required
	Yes, I would like to receive e-mail from Humane Society of Missouri - http://www.hsmo.org
	Yes, I would like to receive postal mail from Humane Society of Missouri - http://www.hsmo.org

*10.

Question - Required - Please include your cell no.

*11.

Question - Required - Contact position (i.e. teacher, counselor, school admin, etc.)

12.

Question - Not Required - Do you have any other questions or requests about your visit?