Emporia State University Natural Areas

Permission Request Form


To request permission to visit or use any of the Natural Areas or facilities, please complete the form below and press the "Submit" button.  For more information concerning our Natural Areas, please contact Bill Jensen at wjensen1@emporia.edu or 620-341-5339.  For information on permissible activities on our Natural Areas, please review our Policies Document.


Permission Request Form:

I would like to request permission to visit or use .

My main activity on the Natural Areas will be .

My group will consist of approximately people/person.

Date/dates requested: 

While I am on the Natural Areas I will require a tour guide or naturalist to accompany me/us? 

I am requesting lodging at the Ross Reservation?   

        If yes, for how many people?   

        For how many nights? 

Provide a brief description of your intended use of the Natural Areas, including a course title (or number for ESU classes) if you are requesting a field trip.  You may also use this space for additional comments or suggestions.

Please provide the following information so that we may contact you if necessary.

Name: 

Organization: 

Phone: 

Email Address: 

 

Important:  Please review the ESU Natural Areas Policies Document for more information on procedures and permissible activities.

 

Thank you very much for your interest in the Emporia State University Natural Areas.  Please press the "Submit" button to send your request or "Reset" the form if you would like to start over.

 

Return to the Natural Areas Homepage.


Provide comments to Bill Jensen at wjensen1@emporia.edu.

Copyright 2003 - Emporia State University

Page Updated:  July 17, 2004

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