Youth Outreach Request Form

Headwaters loves sharing nature with public audiences! If your organization is hosting a conference, celebration, field day, or other event with booths for attendees to visit, please consider us. Headwaters outreach is great for events at museums, parks, zoos, schools, and anywhere else within a reasonable driving distance. To request an outreach event, please fill out the form below.

Headwaters usually attends events for two to five hours. We will bring information about our organization, our current events, and a hands-on activity to promote nature exploration in children. Headwaters requires that you provide a 4 ft - 6 ft table and at least one chair. We may also require access to electricity, depending on the event and topic. 

Fill out the form below to request a Youth outreach event.

Contact Name *
Contact Name
Contact Phone Number *
Contact Phone Number
Organization Phone Number
Organization Phone Number
Organization Physical Address *
Organization Physical Address
Event Date *
Event Date
Please be as specific as possible.
For example, if you anticipate about 500 people to attend your event throughout the day, enter 500.