SPROUT Reservation Form
Please fill out this form to register your school or group. For more information, please contact us at education@washingtonyouthgarden.org or 202-245-2709.
School/Organization Name
Your answer
Address
Your answer
City, State, Zip
Your answer
Ward Number (If organization is located in DC):
Your answer
Your Name
Your answer
Your Role
Your answer
Your Phone #
Your answer
Email Address
Your answer
Would you like to receive the Washington Youth Garden's monthly newsletter?
Required
Additional Contact Name
If you are not the primary teacher, or will not be attending the field trip, please provide the name and contact information for the primary teacher/day-of contact here
Your answer
Additional Contact Role
Your answer
Additional Contact Day-of Phone Number
Your answer
Grades(s)
Your answer
# of Students
Maximum capacity is 30 students. On Fridays, we are able to schedule groups of up to 60 students for 2 consecutive 45 minute sessions. (Please fill out multiple forms if you would like to schedule more than one 90 minute session.)
Your answer
# of Adults
Your answer
Choose one or more time slots
Required
Date desired (1st choice)-- (Weds, Thurs, Fridays only)
Please check the calendar on our website to ensure current availability.
Your answer
Date desired (2nd choice)
(Weds, Thurs, Fridays only)
Your answer
Date desired (3rd choice)
(Weds, Thurs, Fridays only)
Your answer
Please choose one of the following lessons:
What do you hope your students will get out of this experience?
Your answer
Please rate your students' interest in the following areas:
1 - Very interested
2 - Interested
3 - Somewhat interested
4 - Not interested
Learning science
Caring for the environment
Eating healthy food
Does your school/organization have an active garden program?
What percentage of your students are eligible for Free or Reduced Price meals (FRP)?
Are you a Title 1 School/Organization?
Field Trip Fee
Pay by date of field trip online or by check. $25.00 nonrefundable reservation deposit will be credited to fee.
How do you plan to travel to the Washington Youth Garden?
Note: We are located on the grounds of the National Arboretum, over 2 miles from the nearest Metro station.
Is this your first field trip to the Washington Youth Garden?
If yes, how did you hear about the program?
Your answer
Special Needs?
Your answer
Is there anything else you would like to share?
Your answer
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