Field Trip Request Form

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To make program reservations please complete and submit the application form below.

Email *

Teacher/Leader Name *

Teacher/Leader Phone Number *

Best way to contact you

Please select the best method to contact you. If you would like us to use an alternate phone number than the one previous provided please select other and add that phone number.

Phone

Other:

Clear selection

School/Organization Name *

School/Organization Address

Street Address, City, County, State, Zip

Billing Name and Contact Information *

Street Address, City, County, State, Zip, and Contact Information if different from teacher

Is your school interested in information about scholarships and subsidies?

Yes

Clear selection

Grade level of students *

Kindergarden

1st

2nd

3rd

4th

5th

6th

7th

8th

High school - 9th or 10th

High school - 11th or 12th

Required

Number of Classes (max is ~30 students per class)

The maximum number of classes per day is 4. Programs are $330 per class for a full day and $210 for a half day visit. Please contact Caitlin if your school would like to apply for a subsidy.

Number of Students *

The maximum number of students per day is 120 students (4 groups of ~30 students)

Number of Chaperones

We require at least one adult chaperone per group of 30 students. Paras or other staff assigned to individual students DO NOT count towards this total.

Length of Visit

Please select the length of your visit

Half day (2 hours - beginning by 10am or after 1pm)

Full day (4 hours - beginning by 11am)

Other:

Clear selection

Tour/Investigation Choices

Please write the name of the grade-appropriate program(s) you are interested in doing, based on the list on our website. (http://cedarcreek.umn.edu/ed)

Date of Visit 1st Choice

Programs are generally available weekdays based on instructor availability September through October and April through June

YYYY

Date of Visit 2nd Choice

Programs are generally available weekdays based on instructor availability September through October and April through June

YYYY

Date of Visit 3rd Choice

Programs are generally available weekdays based on instructor availability September through October and April through June

YYYY

Arrival Time to Cedar Creek *

Please be as specific as possible as this will alter scheduling for the day of your visit

Time

Departure Time from Cedar Creek *

Please be as specific as possible as this will alter scheduling for the day of your visit

Time

Will your bus(s) be staying at Cedar Creek during your visit? PLEASE NOTE: transportation is required for some investigations and nature walks, and ALL research visits.

Yes

Maybe

Other:

Clear selection

What are your goals for this field trip? *

What related studies/current studies have your students completed?

Please supply some detail so the education staff can work to build upon your students' knowledge and incorporate what they have learned into what we have to share.

Group Notes

Please indicate if students have mobility, visual, hearing, etc. issues, and any other information that will help us to make this day great for your students and our staff.

Student Photos/Video

I am interested in my students voices, faces and experiences being highlighted in an introductory video about Cedar Creek's programming (if you check this box, Caitlin will reach out to you directly to discuss the project, necessary permission slips, etc)

I DO NOT WANT PHOTOS TAKEN of my students (program photos are sometimes taken for our website. No student faces or identifying information are shown without permission from school staff.)

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