Special Use Permit Request
 Please submit at least 1 week prior to your request
* Required Fields
Special Use Permit Details
* Date of Interest 
* Start Time of Event 
* Number of Participants 
* School or Group Name 
  Grade level or age range of participants. 
* Program Title 
  Purpose of Visit 
  Equipment / supplies to be used for program 
* I have read and agreed to the Norman Bird Sanctuary’s Visitor Use Guidelines. 

Special Use Property Areas
* Trails 
* Pond 
* Orchard 
* Third Beach 

Contact Information
* First Name 
* Last Name 
  Business Name 
* Address 
* City 
* State/Province 
* Zip/Postal Code 
* Phone 
* Email 
  Check if a current NBS Member 

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Norman Bird Sanctuary | 583Third Beach Road | Middletown | Rhode Island, 02842 | 401-846-2577 | info@normanbirdsanctuary.org

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