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2. TEACHERS/PARENTS: This is a Request Form to schedule a fun, but educational, classroom visit -- VIRTUAL or IN-PERSON -- by a Water Resource Center educator! We'll lead your class in a 45-60 minute age-appropriate activity. We encourage you to coordinate with other teachers in your school so that we might see multiple classes on one visit. Following COVID-19 guidelines will be expected.

   Thank you for sending your request! We'll be in touch with you soon to set a date and time and confirm that we're doing an activity that fits well with your curriculum.

4. Type of Visit*
   -- Select One --Live (in person)Virtual (via an online platform)
6. Requestor Contact Information
8. First:*
9. Last:*
10. Title
12. Phone Number*
13. Email Address:*
14. City, State*
16. School Name & District*
17. Grade*
    -- Select One --Pre-K or Kindergarten1st2nd3rd4th5th6thMiddle SchoolHigh SchoolCollegeCombined

    If combined grades, please explain in Comments/Questions section.
18. Estimated Number of Students in each Session*
22. Preferred Date #1*
    Preferred Date #1
23. Preferred Date #2*
    Preferred Date #2
24. Preferred Date #3
    Preferred Date #3
25. Preferred Time of Day*
    -- Select One --MorningEarly AfternoonLate AfternoonWe're flexible! :)
27. How does this visit fit into your learning unit? If you anticipate multiple sessions, please explain.*
    Share any insight you have so that we can best plan for our visit to meet your needs.
29. Comments / Questions
    Provide additional information or questions, if any, so we are better prepared when we contact you.
31. While we're excited to visit your classroom, we look forward to having your class eventually visit the Water Resource Center (1004 N Freya Street) for an additional experience. All visits are FREE and you can bring lunches to eat on-site when you're done! A separate request form can be found on our Field Trips! web page.
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit Submit and Print

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