Request for Early Explorers Program Use this form to request a program brought to you that is suitable for preschool. NOTE: This is not a reservation! A BCAS Staff member will be in contact with you to discuss your school program request. Name(Required) First Last Please enter your first and last name.Email(Required) Please enter your email so our staff can contact you to discuss your school program request.Phone(Required)Please enter a phone number where we can reach you during the day so our staff can contact you about your program request.School Name(Required) Last Please enter the name of your school. Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Please provide the address of your school. How many students?(Required)Location for Program(Required) BCAS In School If you are coming to BCAS, please select BCAS. If we are coming to your school, please select In School.Outreach Topic(Required) Getting to know our feathered friends! Going Buggy! All about owls! World of water! Rad reptiles! Please select the topic you are interested in for your school group. Requested Date: Date One(Required) MM slash DD slash YYYY Please provide three possible dates for the field trip. Requested Date: Date Two MM slash DD slash YYYY Please provide three possible dates for the field trip. Requested Date: Date Three MM slash DD slash YYYY Please provide three possible dates for the field trip. Δ Signup to Stay Informed about Bucks County Audubon SocietyPlease enter your email address to receive the latest news about our programs and events. Add Me to Your List You have Successfully Subscribed!