2018 Beach Heroes Registration
Name of School *
Your answer
Address of School *
Your answer
Phone Number of School *
Your answer
Primary Contact Information
The primary contact is the teacher who will receive all communications from the ESC Program Manager. It is the responsibility of the Primary Contact to share this information with all of the other teachers in your team attending the Beach Heroes field study
Primary Contact Email
Your answer
Primary Contact Cell Number (please provide a cell number you can reached in case of emergency day of the field study)
Your answer
Free and Reduced Lunch Rate
This information will be used to determine your eligibility for program subsidies and transportation reimbursements. Our registration fees are based on a sliding scale detailed below. The fee for this program is $150 per class (30 students or fewer) and includes the one (1) hour classroom session with a naturalist and the two (2) hour beach field study with two naturalists. All groups with 50-80% Free & Reduced Lunch Rate will attend Beach Heroes at a rate of $50 per class. Schools with 80% or greater Free and Reduced Lunch Rate will attend Beach Heroes at no cost. Partial transportation reimbursements are available for schools with >50% Free and Reduced Lunch Rate. Groups registering 1-2 classes will receive reimbursement for the cost of one bus or maximum $150. Groups registering 3-4 classes will receive reimbursement for two buses or maximum $300. For more information about registration fees and bus reimbursements, contact programs@envsciencecenter.org.
Free and Reduced Lunch Rate
Email of person we should send invoice to
Your answer
Grade Level
Total Number of classes being registered
Your answer
Total Number of students being registered
Your answer
2018 Beach Heroes Field Study days ( you will select three that work for your school)
1st choice field study date
2nd choice field study
3rd choice field study
Scheduling Pre-field Classroom Schedule (you will select three that work for your school)
This classroom visit will need to be scheduled for a date BEFORE that of your field study.

On the day of your pre-field classroom visit, an ESC naturalist will spend one hour with each class that will be participating in the field study. Please allow for 15 minutes of set-up time between each class.

2018 Beach Heroes Classroom Schedule
1st choice pre-field study classroom presentation
2nd choice pre-field classroom presentation
3rd choice pre-field classroom presentation
Classroom times
On the day of your pre-field classroom visit, an ESC naturalist will spend one hour with each class that will be participating in the field study. Please allow for 15 minutes of set-up time between each class.
Class #1 Start Time
Time
:
Class #1 End Time
Time
:
Class #1 Teacher Name
Your answer
Class #1 Room Number
Your answer
Class #2 Start Time
Time
:
Class #2 End Time
Time
:
Class #2 Teacher Name
Your answer
Class #2 Roome Number
Your answer
Class #3 Start Time
Time
:
Class #3 End Time
Time
:
Class #3 Teacher Name
Your answer
Class #3 Room Number
Your answer
Class #4 Start Time
Time
:
Class #4 End Time
Time
:
Class #4 Teacher Name
Your answer
Class #4 Room Number
Your answer
Class #5 Start Time
Time
:
Class #5 End Time
Time
:
Class #5 Teacher Name
Your answer
Class #5 Room Number
Your answer
Questions/Comments about your registration form
Your answer
You made it! Please print this completed form before you click "Submit" (you will not be able to access the form once it has been submitted).
Thank you for your registration. If you have any questions, please contact the ESC's Programs Manager at programs@envsciencecenter.org.

Please allow us two weeks to process your registration form. We will confirm your schedule as quickly as possible-thank you in advance for your patience.

We look forward to seeing you at the beach!

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