NatureTrack Field Trip Reservation Form
Welcome to the NatureTrack Reservation Form! This form will start you on the path to your own NatureTrack Adventure. With NatureTrack there are NO PROGRAM FEES, AND, NatureTrack will reimburse your travel expenses up to a reasonable amount. (Please submit an invoice to NatureTrack for reimbursement.)

Please note the following items regarding application:
1. For field trips with 70 or more students, please book 2 separate field trips by completing 2 reservation requests. (If slightly over, please email for approval)
2. You will receive a confirmation that this form has been received
3. Please download the required waiver specific to your location from our website
4. Contact Melody@NatureTrack.org if you have not received information at least 1 WEEK prior to your CONFIRMED trip. (ie: a checklist of required items for students and adults, group assignments, and schedule, etc)

Location Notes:
* Arroyo Hondo Preserve field trips: (NO LONGER AVAILABLE) Monday and Wednesday, 10 am to 1 pm - Due to limited availability and popularity, all dates are taken for the 2016/2017 school year*
* Sedgwick Preserve (NO LONGER AVAILABLE): Due to limited availability and popularity, all dates are taken for the 2016/2017 school year*
* Midland is not available from August 15 through September 15

Preferred Field Trip Date
Please make sure the date is indicated as available on the website calendar
MM
/
DD
/
YYYY
Alternate Date
This is in case the desired date is unavailable to you
MM
/
DD
/
YYYY
Departure time from school
This will help us determine the start time of your trip
Time
:
Required time to arrive back at school
Time
:
Name of Coordinating Teacher
Your answer
E-mail address of Coordinating Teacher
Your answer
Coordinator Cell Phone #
Your answer
Names/E-mail addresses of ALL other participating teachers
Your answer
School/Organization
Your answer
Street Address
Please include City/State/Zip as well
Your answer
School/Org Phone #
Your answer
Grade Level
Your answer
Number of Classes
Your answer
Number of Students
Your answer
Number of Adults
This is the number of chaperones/aides not listed as participating teachers. (Please limit parent volunteers to a MAXIMUM of 1 parent per 10 students)
Your answer
Location of Choice
Relative Studies/Currently Studying
What do you want emphasized during the field trip? (Has the material been covered, or is this an introduction to the unit?)
Your answer
Special Needs
If there are none, please note that. If there are, please specify the needs (eg: wheelchair, visual, hearing, allergies, language, etc)
Your answer
How did you hear about NatureTrack?
I want to stay informed about NatureTrack
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