Old Town San Diego Foundation
2019-2020 Grant Request - 4th Grade Old Town Historical and Cultural Field Learning Experience
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Email
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School District
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Name of School
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Is this a Title 1 school?
Yes
No
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School Street Address
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City and Zip Code
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Site Coordinator Name (first and last of lead teacher)
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Site Coordinator Email
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Site Coordinator Phone Number
*
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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
4th grade
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Number of Students (limit of 75 students/day)
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Number of Adult Chaperones (groups of 25 should include 2 chaperones)
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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.)
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Special Considerations
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A copy of your responses will be emailed to the address you provided.
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