Cochran Mill
Nature Center
Education Program Request Form

 To request a field trip, outreach or TAG/REACH program, simply fill out the form below and our staff will follow up with you shortly!

* Required fields
Name *
E-mail Address *
Group Name *
Our group is a: *
Address *
City *
County *
State
Zip *
Organization's Phone *
Number of children *
Grade level *
Number of Staff
Number of Parents
Do you need lunch space? *
Lunch space needed at: (this reservation will be made for you by our staff)
Is your group: *
If yes, please describe the above
Type of Education Program *
Please indicate 3 date preferences *
Preferred time of arrival *
We must depart by *
Please indicate your 1st choice for your program topic: *
2nd choice *
3rd choice: *
4th choice (for groups of 90+ students)
Would you like to spend time in the Gift Shop? *
How did you hear about us? *


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 Cochran Mill Nature Center

6300 Cochran Mill Road    Chattahoochee Hills, GA 30268  

Phone: (770)306-0914      Email: cmnc@bellsouth.net