Name *

First Name

Last Name

How are you affiliated with the school?

Teacher

Administrator

Parent

Student

Other

Are you interested in a Fall or Spring program?

Fall (October through early December)

Spring (March through June)

Introductory Classroom Visit Date (1 hour needed)

MM

DD

YYYY

Stream Exploration Field Trip Date (2-2.5 hours needed)

MM

DD

YYYY

Optional Restoration Day Field Trip Date (1.5-2 hours needed)

MM

DD

YYYY

Post-Trip Classroom Date (1 hour needed)

MM

DD

YYYY