title

School Visit Request Form
Please fill out this form if you are a school administrator and are interested having members of our staff come to discuss the program, including Green Patrol, to your students. If you are not an administrator, but would like us to contact your school, please complete the School Contact Request Form. Asterisks (*) indicate required fields. Your information will only be used by AACOG.

Contact Information

 Name*

School Name*

School District Name*

Mailing Address*

Contact Number* () -

Alternate Phone () -

Email Address

Prefered Dates

First Preference* (MO/DY/YEAR)
 Second Preference(MO/DY/YEAR)
 Third Preference(MO/DY/YEAR)


Please click below to submit your information.  Once you have submitted this form, we will contact you about confirming a date with your school. If you have any questions, please do not hesitate to e-mail bwilliams@aacog.com.

If you have any questions, please contact the Webmaster.
Copyright © 2002-2007 [Alamo Area Council of Governments]. All rights reserved.
Revised: 01/09/07