Science Barge Booking Request Form
Please complete the following information to request a program date with Groundwork Hudson Valleyโ€™s Science Barge Educators. Discounts are available if you are a Yonkers Public School or a Title I School. A $100.00 deposit (per visit) is required within 10 days of confirmation. Deposits can be submitted online via credit card or a mailed check.

Weekday programming is available Mondays, Wednesdays, and Fridays.  

We can have max 35 students on the Science Barge at one time, but we can manage 70 students max by breaking up the group and utilizing different local stations

๐—ฆ๐—ฐ๐—ถ๐—ฒ๐—ป๐—ฐ๐—ฒ ๐—•๐—ฎ๐—ฟ๐—ด๐—ฒ ๐˜€๐˜๐—ฎ๐—ณ๐—ณ ๐˜„๐—ถ๐—น๐—น ๐—ฟ๐—ฒ๐˜€๐—ฝ๐—ผ๐—ป๐—ฑ ๐˜๐—ผ ๐˜†๐—ผ๐˜‚๐—ฟ ๐—ฟ๐—ฒ๐—พ๐˜‚๐—ฒ๐˜€๐˜ ๐—ถ๐—ป ๐Ÿฎ๐Ÿฐ - ๐Ÿฐ๐Ÿด ๐—ต๐—ผ๐˜‚๐—ฟ๐˜€ ๐˜„๐—ถ๐˜๐—ต ๐—ฎ๐—ป ๐—ถ๐—ป๐˜ƒ๐—ผ๐—ถ๐—ฐ๐—ฒ.

๐—ง๐—ผ ๐—ฏ๐—ผ๐—ผ๐—ธ ๐—บ๐˜‚๐—น๐˜๐—ถ๐—ฝ๐—น๐—ฒ ๐—ฑ๐—ฎ๐˜๐—ฒ๐˜€, ๐—ฝ๐—น๐—ฒ๐—ฎ๐˜€๐—ฒ ๐—ณ๐—ถ๐—น๐—น ๐—ผ๐˜‚๐˜ ๐—ฎ๐—ป๐—ฑ ๐˜€๐˜‚๐—ฏ๐—บ๐—ถ๐˜ ๐˜๐—ต๐—ถ๐˜€ ๐—ณ๐—ผ๐—ฟ๐—บ ๐—ณ๐—ผ๐—ฟ ๐—ฒ๐—ฎ๐—ฐ๐—ต ๐—ฑ๐—ฎ๐˜๐—ฒ.

*Virtual Program Lengths were designed with class schedules in mind*

๐—™๐—ผ๐—ฟ ๐—ถ๐—ป-๐—ฝ๐—ฒ๐—ฟ๐˜€๐—ผ๐—ป ๐—ฝ๐—ฟ๐—ผ๐—ด๐—ฟ๐—ฎ๐—บ๐—บ๐—ถ๐—ป๐—ด: In the event of inclement weather, the Science Barge will call the lead educator at least 2hours prior to the event, depending on the weather forecast, the day before your program OR on the day of your scheduled Program.  We will do our best to reschedule as soon as possible.

๐—–๐—ผ๐˜ƒ๐—ถ๐—ฑ ๐—š๐˜‚๐—ถ๐—ฑ๐—ฒ๐—น๐—ถ๐—ป๐—ฒ๐˜€ ๐—ผ๐—ป ๐˜๐—ต๐—ฒ ๐—ฆ๐—ฐ๐—ถ๐—ฒ๐—ป๐—ฐ๐—ฒ ๐—•๐—ฎ๐—ฟ๐—ด๐—ฒ:
 
You may not participate in programming if:
You exhibit any Covid-19 symptoms in the past 14 days:  excessive cough, shortness of breath, or at least two of these symptoms (fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, new loss of taste or smell).

๐—ข๐—ฅ

You have tested positive for  Covid-19 in the past 14 days.

๐—ข๐—ฅ

You have knowingly been in close contact in the past 14 days with anyone who has tested positive for Covid-19 or who has or had symptoms of Covid-19

๐—ฃ๐—น๐—ฒ๐—ฎ๐˜€๐—ฒ ๐—ก๐—ผ๐˜๐—ฒ:
If you have not gotten the vaccine, you ๐— ๐—จ๐—ฆ๐—ง ๐—ช๐—˜๐—”๐—ฅ ๐—” ๐— ๐—”๐—ฆ๐—ž.
If you refuse to wear one you will not be allowed to participate in the program and will be escorted off the Science Barge.
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Program type *
Program Activity *
Name of Lead Educator who will attend program *
Email of Lead Educator who will attend program *
Cell number of Lead Educator who will attend program *
Additional Participating Teacher Contacts
Name of Organization/School *
Address of Organization/School *
Are you a Title 1 school? (if Yes, please forward documentation indicating Title 1 status to sciencebarge@groundhv.org) *
Number of Students Attending *
Grade Level of Students *
Preferred Program Date 1 (only Mondays Wednesdays and Fridays) *
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Preferred Start Time 1 *
Time
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Alternate Program Date 2 (only Mondays Wednesdays and Fridays)
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DD
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YYYY
Alternate Start Time 2
Time
:
Please describe any special accommodations or information to help us enhance your time on the Science Barge.
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