School Program Request
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Name (first and last): *
Email: *
Cell phone number: *
USD: *
School Name: *
School Address: *
Request: *
Will this activity be tax-exempt?  *
Select the grade(s) students fall under: *
Required
Approximate # of students: *
Approximate # of adults (teachers, paras, guardians, etc.):

Field Trips: Please limit the number of parents or guardians accompanying your school group to 10% of the total student count. (For example: If the student count is 70, only 7 parents or guardians are permitted to participate.) This limitation does not apply to school staff attendance.
 *
Date (please give us a minimum of 3 possible dates in case your 1st choice is unavailable): *
Start Time: *
Time
:
End Time: *
Time
:
Questions or additional information:
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