SCHEDULE A FIELD TRIP TO IRVINE SCHOOL or ORGANIZATION*NAME OF SCHOOL OR ORGANIZATION SCHOOL MAILING ADDRESS*SCHOOL ADDRESS SCHOOL LOCATION* Baltimore City Baltimore County Carroll County Harford County Howard County Other SCHOOL LEVEL* PreK Elementary Middle Other TYPE OF SCHOOL* Public Private n/a IS YOUR SCHOOL TITLE 1?* Yes No CONTACT NAME*CONTACT NAME - First and Last CONTACT EMAIL*CONTACT EMAIL CONTACT PHONE*CONTACT PHONE GRADE*GRADE LEVEL Total # of Students (max 40)Total # of Students (max 40) Number of Students with IEP or 504*How many students have an IEP or a 504 plan?FIELD TRIP THEME*FIELD TRIP THEME: Select OneField Trip Descriptions (select one)Sensational Seasons: PreK-2nd grade (offered Fall & Spring)The Buzz About Bees: PreK-2nd grade (offered Fall & Spring)Intro to Nature: PreK-3rd grade (offered Fall & Spring)Creature Features: 1st-3rd grade (offered Fall & Spring)Maple Magic: 2nd-8th grade (offered Feb-March)Feathered Friends: 3rd-6th grade (offered Fall & Spring)Native Americans of the Eastern Woodlands: 3rd-8th grade (offered Fall & Spring)Wetland Wonders: 4th-6th grade (offered Fall & Spring)Intro to Nature: 4th-8th grade (offered Fall & Spring)Wilderness Survival: 5th-8th grade (offered Fall & Spring)Start TImeREQUESTED START TIME, IF DIFFERENT THAN 10AM. (Earliest start is 9:30AM) 1st Choice Date*1st Choice Date (greyed out dates not available) PLEASE NOTE: This is not a guarantee. Your field trip request will be reviewed and confirmed via email by our Education Program Coordinator. MM slash DD slash YYYY Alternate Dates*Please list TWO additional backup dates. Special Needs/AccommodationsSpecial Needs/AccommodationsCAPTCHA
