Plantmobile Request Form
Please complete this form to request an onsite school program.


The Mass Hort Plantmobile is a traveling plant science program that brings workshops to your classrooms. Currently, we provide hands-on educational programs for students in pre-K to grade 5. Plantmobile programs are designed to provide all Massachusetts students with a rewarding horticultural experience. Programs are offered on a variety of topics and activities coincide with elementary school plant science curriculum and standards.

- 60 minute Single Session - $175
- 3 session bundle - $500
- Round trip mileage is added to final costs, .58 per mile.
- Programs are 60 minutes (50 minute lesson with 10 minutes for set-up and clean-up)
- Maximum of 25 students per session


Please Contact Garden Education Instructor, Lise Lorimer, with questions. Lorimer@masshort.org or 617-933-4972
Name of Organization *
Your answer
Address of Presentation Location *
Your answer
City and State of Presentation Location *
Your answer
Zip Code of Presentation Location *
Your answer
School District (Type N/A if not applicable) *
Your answer
Contact Person *
Your answer
Contact's Email *
Your answer
Contact's Phone Number *
Your answer
Program Theme - Which program are you interested in? *
Program Format - How many sessions would you like to host?
Requested program date and time (1st Choice) *
MM
/
DD
/
YYYY
Time
:
Requested program date and time (2nd Choice) *
MM
/
DD
/
YYYY
Time
:
Requested program date and time (3rd Choice) *
MM
/
DD
/
YYYY
Time
:
Requested program date and time (4th Choice) *
MM
/
DD
/
YYYY
Time
:
What percentage of the total population of students at your school/organization utilize the free or reduced lunch program? This question is for records keeping purposes only. Do not list "N/A" unless free or reduced lunches do not apply to your school/organization. *
Your answer
Make sure that you are one of the first people to find out about the gardens' tour and professional development opportunities before the schedule fills up. Select yes to join the gardens' school tour email list. *
How did you hear about this program? *
Required
Comments or Questions
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy