Arboretum School Program Request Form
Arboretum School Programs 2021-2022
BROWSE SCHOOL PROGRAMS AT https://www.arboretum.umn.edu/schools.aspx

If requesting multiple different school programs, complete (1) separate request per each program.
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Teacher Name (first and last) *
Phone number where we can reach you between 9 a,m. - 4 p.m. *
Teacher email *
School/Organization name *
School/Organization address *
I am requesting: *
If requesting multiple different school programs, complete (1) separate request per each program. Your selection is a request only, you will be notified once we confirm your booking.
Preferred Program Date *
FIELD TRIPS & PLANTMOBILE: Date choice must be listed as available on the program page, check availability at https://www.arboretum.umn.edu/schools.aspx.      BOX ORDERS: Enter your preferred ship date from the options listed on the Box webpage https://www.arboretum.umn.edu/schools.aspx#Box.
MM
/
DD
/
YYYY
Alternate (2nd choice) Program Date
FIELD TRIPS & PLANTMOBILE: If your first date isn't available, select a second option!   BOX ORDERS: leave blank, no need to enter an alternate ship date.
MM
/
DD
/
YYYY
Preferred Program Start Time *
FIELD TRIPS & PLANTMOBILE: Time choice must be listed as available on the program page, check availability at https://www.arboretum.umn.edu/schools.aspx.   BOX ORDERS: This answer does not apply, just enter noon.
Time
:
Alternate (2nd choice) Program Start Time
FIELD TRIPS & PLANTMOBILE: If your first time isn't available, select a second option!   BOX ORDERS: leave blank, no need to enter an alternate time.
Time
:
Grade(s) of students participating *
Example: K, 1, 2, 3, 4, 5, or 6. List all grades who will participate in the school program
How many classes are attending/participating? *
Maximum 32 students per class. Example: If you have 2 classes of 28 students, your answer is 2.
Total number of students who will participate *
Example: If you have 2 classes of 28 students, your answer is 56.
Will you be requesting a scholarship for this program? *
**Scholarship request form opens Wednesday, September 8 at 9 a.m.** Scholarships are only available to schools with 50% or greater free and reduced lunch. Qualifying schools may complete a Scholarship Request Form at https://forms.gle/yJoG1GnwdoR6FG989
Notes, comments, or special needs that our instructors should know *
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