School and Group Registration Form
School/Group Information
Name of School/Group *
School/Group Phone *
School/Group Street Address *
School/Group City *
Ex: San Jose
School/Group Zip Code *
District/Group Type *
Ex: San Jose Unified -or- Girl Scout Troop
Primary Contact (Teacher or Coordinator)
First Name of School/Group Contact *
Last Name of School/Group Contact *
School/Group Contact's Role *
If other, please list.
Email of School/Group Contact *
Phone of School/Group Contact *
Either personal or work, whichever is best for you
Where Did You Hear About Us? *
Additional Contact Information
Participant Information
Did You Book a Program With Us Last Year? *
What Grade(s) Are You Scheduling For? *
How Many Classes Are You Scheduling For? *
Total Number of Students You Are Scheduling For. *
Total Number of Adults You Are Scheduling For, Including Teachers. *
First & Last Names of All Teachers / Group Leaders You Are Scheduling For *
Additional Info We Should Know About Program Participants:
Program Information
Are You Looking For More Than One (1) Program Per Class?
Ex: Animals and Their Adaptations -AND- Five Senses Nature Walk programs for each class
Clear selection
Please List Your Preferred Program Date(s) *
1st Choice (dates not guaranteed)
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2nd Choice (dates not guaranteed)
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3rd Choice (dates not guaranteed)
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Please List Your Preferred Program Site(s) *
Required
Will you be coming by bus or parent drivers? *
Animals and Their Adaptations. (hands-on with live animals)
Pre-K (½ hour) $165 | K - 6 (1 hour) $250 | Touch and examine live animals from a variety of taxonomic groups. Learn about diet, habitat, ecological role, structure, and function. Observe and discuss differences among animals.
Clear selection
Insects, Spiders, and Other Arthropods. (hands-on with live animals)
Pre-K (½ hour) $165 | K - 4 (1 hour) $250 | Learn about arthropod structure, function, and life cycles; emphasis is on insects and differences between arthropod groups.
Clear selection
Life in a Pond. (hands-on with live animals)
Pre-K (½ hour) $165 | K - 5 (1 hour) $250 | What's special about animals that live where it's wet and wild? Learn about aquatic adaptations, food chains, and life cycles. Touch and examine YSI's live aquatic animals.
Clear selection
All About Owls.
Grades 3 - 5 (1 hour) $275 | Observe live owls and learn about the physical adaptations that make them successful nocturnal hunters. Dissect owl pellets and be introduced to skeletal anatomy and the owl's diet. Discuss the nature of food chains and the role of owls in the ecosystem. | This program is offered at the Alum Rock location only.
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Ohlone Indians. (long version includes nature walk) *no October dates available
Grades 3 - 6 (1½ hours) $325; with walk (3 hours) $595 | Investigate the Native American relationship with the environment as you pound acorns, make rope, play Ohlone games, and search the forest for food and medicine. This program includes handling and grinding acorns, and other nuts may be present while discussing what the Ohlone ate and used. Small group instruction. | At-school programs require a room we can stay in for all sessions that day. Long version with walk offered at Alum Rock and Sanborn locations only.
Clear selection
Physics of Sound and Motion.
Grades 1 - 4 (1½ hours) $275 | Learn about the motion of objects through a series of lively, hands-on activities. Investigate sound as it travels through different states of matter. Learn about the physics behind motion; deepen your understanding as you design and test paper airplanes and stomp rockets. | At-school programs require a room we can stay in for all sessions that day.
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Physics of Sight and Sound.
Grades 1 - 4 (1½ hours) $275 | Learn about the structure of the eye and the tricks of the brain. Take a look at how light works through hands-on investigations and experiments for the whole class. Learn about sound waves through a series of lively, hands-on activities. Investigate sound as it travels through different states of matter. | At-school programs require a room we can stay in for all sessions that day.
Clear selection
Aquatic Habitat Exploration. (hands-on with live animals & nature walk)
Grades 1 - 6 (1½ hours) $275 | Grab a net and explore a freshwater habitat. Touch and examine the diverse animals that live there and learn how they adapt to their watery environment. | This program is offered at the Alum Rock and Vasona locations only.
Clear selection
Five Senses Nature Walk. (includes nature walk)
Pre-K (½ hour) $165 | K - 6 (1 hour) $220 | Explore the outdoors and learn general concepts of ecology, botany, and biology. Learn about local plants and animals by seeing, smelling, hearing, touching, and tasting your way down the trail. Includes touching and tasting some Native Plants. | This program is offered at any YSI location but does not travel to school sites.
Clear selection
Moving, Exploding Earth. (long version includes geology walk)
Grade 2 (1 hour) $275; with walk (1½ hours) $325 | Grades 3 - 6 (1½ hours) $325; with walk (2 hours) $385 | Explore Earth's layers, plate tectonics, and the rock cycle. Examine and identify rocks and minerals. Includes an edible earth activity. Includes small group instruction. | At-school programs require a room we can stay in for all sessions that day. Geology walks offered at Alum Rock and Sanborn locations only.
Clear selection
Other
My School is Low-Income and I'm Interested in Information About Grants.
Clear selection
Program Policy. *
Programs are held rain or shine. Please dress for the weather as needed. If any students have allergies that will prevent them from participating in a program activity, please let us know in advance, and be sure the adults attending that day are aware. In some cases, accommodations may be made if we know in advance. It is your responsibility to ensure that students with allergies or other concerns do not extend past what is safe for them. For field trips to our sites, we recommend closed-toed shoes with a good grip (not slippery) that are ok to get dirty or muddy, and dressing in layers as the park may be cooler than other areas of Silicon Valley. Be sure to read and obey all park traffic signs and YSI parking directions. If you are scheduling for multiple classes / groups, it is your responsibility to ensure that all teachers / group leaders are aware of programs scheduled and any requirements. Our staff will contact you to set program date(s), times, and payment. Once a program is confirmed, change or cancellation fees apply.
Required
Anything Else We Should Know? (Including requests, comments, special needs, etc.)
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