2021 Summer Excursion Request Form
If you do not hear from our Education Coordinator within two weeks of filling out this form, please let us know by calling 920-448-5150 x 201 or emailing edassistant@heritagehillgb.org
Email *
School or Organization Name *
Street Address *
City *
State *
Zip Code *
Teacher (Contact Person) *
School/Organization Phone Number *
Emergency Contact Number (Cell phone only used in case of emergency) *
Ages *
Required
Estimated # of Students *
Estimated # of Teachers *
Estimated # of Aides *
Estimated # of Additional Chaperones (1 free chaperone per 15 students) *
Does your class have special needs? *
Does your class have English language learners? *
Are you planning on eating lunch at the park? *
Any additional comments or questions. *
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