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Fall Field Trips Reservation Form
If you do not hear from our Education Coordinator within two weeks of filling out this form, please let us know by calling 920-448-5150 x 201 or emailing
edassistant@heritagehillgb.org
Please fill out one form per program type.
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* Indicates required question
Email
*
Your email
School or Organization
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Teacher (Contact Person)
*
Your answer
School Phone
*
Your answer
Emergency Contact Number (Cell Phone)
*
This will only be used if needed to contact you in an emergency.
Your answer
Grade
*
< 1st
1st
2nd
3rd
4th
5th
6th
7th
8th
> 8th
Other
Required
Estimated # of Students
*
Your answer
# of Teachers
*
Your answer
# of Aides
*
Your answer
Estimated # of Additional Chaperones
*
This does not have to be exact. You get 1 chaperone per every 15 students free. If you are unsure, make your best guess or put 0.
Your answer
Does your class have any special needs?
*
Your answer
Does your class have English Language Learners?
*
Your answer
Are you planning on having lunch at the park?
*
Yes
No
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