Humane Education Request Form - Ottawa Humane Society

Primary Contact Information

Teacher Name *

Teacher Phone Number *

School Phone Number *

School Address *

Street Name City Province Postal Code

Teacher Email Address *

Do you consent to receive emails from the OHS?

Yes
No

Humane Education Booking Request

School Name *

Grade(s): *

Number of presentations requested *

(max 30 students/presentation)

In which language are you looking to book your presentation(s)? *

English
French
Immersion

What is the approximate number of students attending each presentation? *

Dates preferred *

1. *

2. *

3. *

Times Preferred (presentations are one hour in length and can’t overlap)

1. *

2. *

3. *

If you have selected a presentation for a grade three class or older, do you have a lap top with access to internet and a projector to facilitate our presentation?

Yes
No
Not applicable

Is a companion animal welcome in the classroom? *

Yes
No
Unsure

How did you hear about the humane education program? *

Questions/Additional Comments