Heart-J Center Field Trip Request Form
Thank you for your interest in bringing your class to the Heart-J Center for Experiential Learning at Sylvan Dale Ranch!

Please complete the form below so we can learn more about your plans for your visit to Sylvan Dale. We'll use this information for scheduling, staffing, and to ensure that we're helping you reach your educational goals!

If you're unsure about any of the questions below, don't stress, feel free to estimate or indicate where items are still to be determined.

Thank you for taking the time to complete this form. We're looking forward to your visit!

The Heart-J Center Team
Email address *
School name: *
Your answer
Teacher or admin contact name (first and last) *
Your answer
Contact email *
Your answer
Contact phone *
Your answer
Grade level(s) *
Your answer
Desired date(s) *
*Our fall field trip season runs from April 13th through May 22nd. Please list all field trip date options if there is more than one option available in your schedule
Your answer
Arrival time *
*We can accommodate 2hr, 4hr, 6hr, 8hr, or multi-day visits, including overnight campouts.
Time
:
Departure time *
*We can accommodate 2hr, 4hr, 6hr, 8hr, or multi-day visits, including overnight campouts.
Time
:
Number of students (estimated) *
HJC charges $25 per student for groups sized 1-100, and $20 per student for groups sized 100+. However, HJC does not turn school groups away if the cost is prohibitive to the class or any students attending. If you feel you're unable to cover the cost of the trip, please let us know the reason for the scholarship request and the scholarship size you are requesting (see below).
Your answer
HJC has scholarship funds available for Title 1 schools! Our goal is that no class will be unable to attend a field trip due to lack of funds. Please use the space below to tell us the amount and specific reason(s) for scholarship request.
Your answer
Number of adults - estimate (adults are free of charge) *
Your answer
HJC offers the activities below. Please indicate which activities you'd like your students to engage in during your visit. *
Please indicate ALL topics of interest. HJC staff will propose the day's program based on your interests and the schedule which is determined by a combination of your arrival and departure times, whether you are coming for 1, 2, or 3 days, and how many groups we divide the students into. In some cases we can combine activities so let us know all of the topics and we will work to accommodate your request. In general, we can accommodate 2 different activities per every 2 hours of your visit.
Required
Custom activity
We can also work to create custom programs to meet your educational needs. Please use the space below to let us know what you'd like to learn.
Your answer
Does your group need camping options? If so, please specify. *
HJC does not have camping gear at this time, but we do have space!
Your answer
Do you have additional comments or specific questions? If so, please use the space below.
Your answer
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