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Education Program Request Form

At Healthy Aquatics Marine Institute, students rotate through interactive STEM based activity stations, learn to use scientific tools, enhance their critical thinking skills, and investigate current pressing environmental issues.

Each program lasts approximately one hour each and you may choose up to three programs in one day. Programs can accommodate a maximum of 45 students.
Transportation and lunch must be arranged in advance and are the responsibilities of the lead teacher and chaperons.

$12.00 per student program (Scholarships offered upon funding availability)

Ask about our private group rates!

STEP 1: TELL US ABOUT YOUR SCHOOL
Please complete all fields to help us reserve a date for you and your students.
School or Group Name:
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Address:
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Type of School/ Group:
Your Full Name:
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Phone #:
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Email Address:
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STEP 2: GROUP SIZE AND NEEDS
Anticipated number of students:
Your answer
Grade(s):
Your answer
Anticipated number of adults ( teachers and chaperons):
Your answer
To provide you the highest program quality, please let us know if anyone in your group has a physical or intellectual impairment. If so, please provide the number of individuals and a brief description.
Your answer
STEP 3: REQUEST A DATE
Please list several choices (particular dates/weeks) in order of preference.
Date(s) requested:
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Earliest possible arrival:
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Latest possible departure:
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OPTION 1 : FIELD TRIP PROGRAMS AT HEALTHY AQUATICS: See Program Guide for Descriptions.
Please keep in mind the following if requesting a field trip to our facility:

1. Our facility can accommodate a maximum of 40 students per visit ($12.00 PER STUDENT).
2. 1:10 adult/chaperon ratio is required and admitted free of charge. Additional adults are $12.00.
3. Visit includes an introduction to the mission of Healthy Aquatics and a 30-minute lunch break.
4. Total program time cannot exceed 4 hours.
5. Groups are responsible for providing their own transportation and lunch arrangements.
6. Teachers and chaperons must be involved and are responsible for student discipline issues.
7. Each program is one hour and you may book up to three programs in one day.

*Please note scholarship pricing per student is arranged on a case by case basis*

Please choose up to 3 programs:
OPTION 2: TRAVELING EDUCATION PROGRAMS: See Program Guide for Descriptions.
Let Healthy Aquatics come to your school with an exciting, interactive experiences that supplement your teaching.
All programs are adapted to grade level and aligned with state and national academic standards. A travel fee may be added for schools further than 20 miles from our Facility in Boynton Beach.

Each program is one hour and you may book up to three programs in one day.

Small Classroom ( 1-10 students)= $200.00

Standard Classroom or Event (10-25 students)= $250.00

Small Assembly (25-50 students)= $300.00

Ask us about groups larger than 50!

Please choose up to 3 programs:
Any additional requests or comments?
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