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2. TEACHERS/PARENTS: This is a Field Trip Request Form to schedule a visit to the Spokane County Water Resource Center (WRC). A typical visit includes 2-3 educator-led activities.

4. Requestor Contact Information
6. First*
7. Last*
8. Title*
10. Phone Number*
11. Email Address*
12. City, State*
14. School Name/District or Organization Name*
15. Grade*
    -- Select One --Pre-K or Kindergarten1st2nd3rd4th5th6thMiddle SchoolHigh SchoolCollegeCombined

    If combined grades, please explain in Comments/Questions section.
16. Estimated Number in Group*
20. Preferred Date #1*
    Preferred Date #1
21. Preferred Date #2*
    Preferred Date #2
22. Preferred Date #3
    Preferred Date #3
23. Preferred Time of Day*
    -- Select One --MorningEarly AfternoonLate AfternoonWe're flexible! :)
25. How does this visit fit into your learning unit?
    Share any insight you have so that we can best plan for your visit to meet your needs.
27. Comments / Questions
    Provide any additional information or questions here so when we contact you, we'll be ready to discuss your visit.

29. The Spokane County Water Resource Center is located at 1004 N Freya Street, just SE of the Trent and Freya intersection. The Reclamation Facility is adjacent. Activities, tours and parking are free and bus parking is available.

Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit Submit and Print

* indicates a required field