Pets in the Community School Program Request Form

Thank you for your interest in the Purina Farms Pets in the Community School Program!!

Please read over the following program guidelines before completing the request form.

Note: The program has been restructured from prior years. It now consists of a 15 minute canine performance followed by 4 to 5 learning stations (students will be broken up into small groups) with lessons in responsible pet care.

Schools requesting the program must meet the following criteria:

  • Open to kids in grade 3 - 5 with no more than 200 kids
  • Request MUST come from a school official including teachers and administrators
  • 45 minute program takes place at 1 p.m. and 2 p.m. on a Tuesday or Thursday
  • School is located less than an hour from Purina Farms
  • Indoor area of at least 40'x60'
  • Schools must agree to host a supply drive benefitting the closest Purina-friendly pet shelter to the school
  • The school did not host a PITC Show during the 2018-2019 season

If your school meets the criteria, please continue on to the request form below!
All schools granted requests will be notified by October 4, 2019, and will be contacted to arrange scheduling.
1. Name of school
 
2. Contact information for school representative including: name/job title/phone number/email/school physical address
 
3. Preferred method of contact
Phone  
Email  
4. Distance from Purina Farms (mileage and approximate drive time)
 
5. Has your school hosted the Purina Farms Pets in the Community School Program in the last year? (if yes, your school will have to wait until 2020 to apply)
Yes  
No  
6. Of grades 3 - 5, which grade will be participating and approximately how many children will be attending?
(max of 200, but 150 is preferred; if smaller school, multiple grades may participate)
Third  
Fourth  
Fifth  
 
7. Do you have an indoor space of at least 40'x60' to support the program?
Yes  
No  
8. Are you willing to do a shelter supply drive for a local animal rescue group leading up to the program? If yes, please list your shelter of choice below.
(Purina Farms will provide a wish list of supplies/shelters, if needed)
Yes  
No  
 
9. Please list your top 3 preferred dates in priority order to host the Pets in the Community School Program.
(Dates MUST BE on a Tuesday or Thursday from December - February)