CEC Program Agreement
Please submit this completed contract to confirm your reservation at the CEC.
Email address *
School Name *
Lead Teacher *
Lead Teacher Cell Number *
School Principal/Director *
School Address *
City *
State *
Zip Code *
School Phone Number *
School Fax Number *
What is the best way to contact the Lead Teacher? *
Best time to contact Lead Teacher *
Total Number of Participants *
Grade(s) *
Required
Arrival Time (recommended 9:00-10:00 a.m.) *
Time
:
Departure Time (recommended 1:00-2:00 p.m.) *
Time
:
Do you need separate lodging for teachers? **Note that all cabins must have a minimum of two adult chaperones.** *
If teachers do need separate lodging, how many? *
RESERVATION POLICY: Please submit this form as soon as possible to guarantee and reserve your preferred dates. Depending on time between booking and programs dates, a non-refundable deposit is required 1 month from the date your reservation is made. Please contact your program coordinator for your deposit amount. This amount is dependent on your program length. Checks should be made payable to the Cahaba Environmental Center at Living River. *
CANCELLATION POLICY: An estimate of participant numbers is required within this document to secure program dates in our calendar. A more accurate count is due 30 days prior to your scheduled trip date. In the event of a cancellation or a significant drop in participant numbers, the school is responsible for the cost of 75% of the total number of participants as stated in this Program Contract. This does not include any cancellations or rescheduling initiated by the CEC. Cancellations two weeks or less away from program dates will not be able to be refunded. **Rescheduling in the event of unforeseen circumstances is recommended and encouraged. *
The CEC reserves the right to send home any child who becomes ill, destroys property, behaves aggressively, or takes any other action detrimental to other students of the program. The school will be responsible for providing transportation in such cases and for any damage to the facilities and equipment. No refunds will be made under these conditions. The CEC cannot be held responsible for loss or damage to property brought to the CEC. Please encourage students to leave valuables and large amounts of cash at home. *
PAYMENT: Your full balance should be mailed no later than 2 weeks prior to your program date. All checks should be made out to Cahaba Environmental Center. Please contact your program coordinator if special arrangements need to be made. *
I agree to the terms of this contract and agree that my group will abide by all Cahaba Environmental Center policies. *
Electronic Signature of Lead Teacher:
Today's Date: *
MM
/
DD
/
YYYY
Electronic Signature of School Principal/Director:
Today's Date: *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Living River. - Terms of Service