Dunes Learning Center On Campus Program Request Form

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Please complete the information below. Requests can be made up to 12 months in advance. Be certain to provide the three best possible dates (in at least two different months) for your group to attend a Dunes Learning Center program. You will be contacted to confirm dates once school-year scheduling begins. We will do our best to accommodate your choice of dates. Your flexibility and understanding in this process are greatly appreciated. We are continuously working to improve our communication, please take a look at new program planning guide located on our Educator Resources link under Programs.

Dunes Learning Center program you are requesting? *

See the website for descriptions

Frog In the Bog (Fall & Spring) Grades: 4-6

DuneVersity (Fall & Spring) Grades: Middle School (6 - 8)

Winter in the Dunes (Winter) Grades: 3-5

Dunes Adventure Academy (Winter) Grades: Middle School

Other:

Required

School name *

School Address *

City *

State *

Other:

Zip Code *

School Phone *

Lead Teacher(s) or Contact Person and best email and phone to reach you. *

Primary Contact, Lead Attending the Event *

(Name, Phone, Email & summer contact info)

Secondary Contact *

(Name, Phone, Email)

Administrator Contact Information *

(This may be the principal and or the office manager)

Alternate phone number(s) *

(So we can contact you during the summer)

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