601 S Stonestreet Ave, Rockville, MD
11am-5pm – Seven days a week
Who We Are
Board of Directors and Staff
Aspin Hill Memorial Park
What We Do
Spay / Neuter Clinic
How to Help
Shop to help
MCHS License Plate
Humane Education Program Request Form
Name of Group Requesting Program
(School, Civic/Business Org., Faith Community, etc.)
(if Girl/Boy Scouts)
Total number of people in group
Number of Adults
Best Phone Number
Please specify the type of request and preferred date and time by completing the information below.
This request is for a PROGRAM at your location
This request is for a visit to MCHS in conjunction with a program
Address if different from above:
(only required if you selected, "This request is for a PROGRAM at your location."
Requested program date
(at least 4 weeks from today’s date):
Day of week:
Would you like the presentation to include a visiting animal?
(Please be sure animals are permitted at the location of the program)
Please indicate what service project you plan to do, and whether it will be completed before or after your program:
Please describe any special needs of the group members, or any special accommodations for this group that may affect the program or presentation.
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