Scout Visit Request Form

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Please fill out this form to request a field trip to the Cold Spring Harbor Fish Hatchery & Aquarium.

It is important to check with all of your Scouts' parents to find three possible dates before submitting this form. Programs can be scheduled 7 days a week. Earliest start time is 10am on Monday through Saturday, or 12pm on Sunday. All programs must be completed by 5pm. Please list three choices in order of preference.

Contact Person *

Scouting Level *

Grade of Scouts *

Age of Scouts *

Mailing Address *

Daytime Phone # *

Email Address *

# Children *

# Leaders *

# Chaperones *

Do any of your students have a physical or intellectual impairment that we should be aware of?

What type of Scout group are you? *

Girl Scouts

Cub Scouts

Scouts BSA

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