School Field Trip Science Programs
Thank you for your interest in our School Field Trip Science Programs. Please complete the below form. Anne Balogh (Program Manager) will respond to your submittal within 5 business days. If you have questions or do not hear back from our office, please contact Anne Balogh (Program Manager) at 740-587-2535 or  anne.balogh@lickingparkdistrict.com. - Thank you. 
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Please provide the name of the Elementary School. 
Please provide the address of the Elementary School.
Please provide the teacher's full name (first & last name).
Please provide the teacher's phone number and email address.
Please note what grade level you are proposing for the School Field Trip.
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Please indicate if your group would like to travel to one of our parks or if you prefer for us to visit your school?
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If you would like to travel to one of our parks, please indicate your preference below. 
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Please provide us with a list of preferred dates. NOTE: School Field Trips are only offered during the months of Sept., Oct., April & May. 
How many students are you proposing to bring to the School Field Trip? No more than 100 students can be accommodated. NOTE: Schools must provide enough adult chaperones for a 1 adult : 10 student ratio. *
Please enter the product number
Do you have any special requests? If YES, please note them below. 
What topics are you interested in exploring with your students? 
Questions and comments
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