Old Town San Diego Foundation
2019-2020 Grant Request - 4th Grade Old Town Historical and Cultural Field Learning Experience
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School District
Name of School
Is this a Title 1 school?
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School Street Address
City and Zip Code
Site Coordinator Name (first and last of lead teacher)
Site Coordinator Email
Site Coordinator Phone Number *
Date of Scheduled Trip to Old Town State Historic Park (trip MUST be scheduled first via email at OldTown.SanDiegoSHP@parks.ca.gov or phone 619-688-3362) CREATE A NEW GRANT REQUEST IF YOU ARE SCHEDULED FOR MORE THAN ONE DAY. *
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Grade
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Number of Students (limit of 75 students/day)
Number of Adult Chaperones (groups of 25 should include 2 chaperones)
Number of Guests (Extra adults or children are discouraged and not covered by the OTSDF grant.  Upon arrival, you will be required to pay the 8.00 park fee for each guest.)
Special Considerations
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