Headwaters General Use Request Form

Please fill out this form if you are interested in using or visiting the Sanctuary for an organized purpose.

You do not need to fill out this form if you are visiting the Sanctuary independently for recreation or spiritual reflection. 

Please note that visits to Headwaters outside of normal business hours (after 5:00 pm during weekdays) are strongly preferred. Please contact us if you would like a visit, but are unable to come after normal business hours. 

First Name *
First Name
Organization
Organization
Phone *
Phone
Address
Address
Are you registering a minor?
Are you registering a group?
Tell us about your volunteering interests!
May we send you:

If you do not hear from a Headwaters representative by phone or email with five business days of submitting your form, please call or email: Alyssa Cook, Youth Education Coordinator, (210) 828-2224 ext 228, alyssa.cook@headwaters-iw.org.