RiverMobile Request Form
Thank you for your interest in hosting the RiverMobile! Please respond to the questions below to request the RiverMobile. Requests must be made at least 60 days in advance of your desired program. The RiverMobile curriculum targets 5th to 8th graders. However, we believe that all ages can benefit from the experience. We evaluate each request individually based on availability, staffing, and seasonal weather. The Rivers Institute will be in contact with you and your organization within the next two weeks.
First Name
Your answer
Last Name
Your answer
Phone Number
Your answer
Email Address
Your answer
Name of School or Organization Requesting Program
Your answer
Relationship to School or Organization
Your answer
Program Date(s) Requested
Your answer
Special Event Request
If you are requesting the RiverMobile for any special event, please include the details below.
Your answer
Estimated Number of Students/Participants
Your answer
What is the age range of participants?
The RiverMobile curriculum targets 5th to 8th graders. However we believe that all ages can benefit from the experience and can work with you on tailoring a RiverMobile program suitable for most ages.
Your answer
I have read and understand the space requirements to park the RiverMobile at my desired host location, details listed below.
The RiverMobile must be parked on a paved, level area measuring 80' x 20' ft. There cannot be trees or overhangs that obstruct passage of the RiverMobile. There must be accessibility for a tractor trailer truck to enter and exit the paved area with the RiverMobile.
I understand that a required meeting between myself, a representative from the host organization/school, and the Rivers Institute must take place at least 30 days before event.
This meeting will help finalize the space where the RiverMobile will be parked and will involve scheduling a timeline for moving the RiverMobile in and out of the host location site.
How do you anticipate the RiverMobile will further add value to your program or student learning objectives?
Your answer
Desired Event Location
Address Line 1
Your answer
Desired Event Location
City
Your answer
Desired Event Location
State
Your answer
Desired Event Location
Zipcode
Your answer
I understand that the Rivers Institute reserves the right to cancel due to unforeseen circumstances, such as inclement weather conditions.
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