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Ride the Waves ~ 2015
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Group Name
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Contact Person - name
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Contact Person - email address
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Contact Person - telephone number
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Number of student participants
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Number of adult chaperones
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It is required that there be at least one adult chaperon per group
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What grade level are the youth participants?
Upper elementary
Middle School
High School
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Aquatic Food Web - Grades 4 - 12 ~ Please list 3 dates that work for you.
Sessions are 1-2 hours each; 1 on the Agassiz and 1 in the lab.
I understand that I will need to provide a list of names for each person on the trip, prior to the day of the trip.
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Place your initials in the box below if you agree.
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I understand that I am responsible for the behavior and safety of the youth who sign up with my group.
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I understand that I will bring a signed liability form for each person who is in my group.
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Does the Michigan Tech University and the Western UP Center for Science, Math & Environmental Education have permission to use photos of your child in educational or promotional materials?
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How did you hear about our program?
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Do you have any comments or questions?
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