Let Irvine Nature Center bring the nature to YOU! CAMP or ORGANIZATION*NAME OF CAMP OR PROGRAM CAMP ADDRESS*CAMP ADDRESS CAMP LOCATION* Baltimore City Baltimore County Carroll County Harford County Howard County Other CONTACT NAME*CONTACT NAME - First and Last CONTACT EMAIL*CONTACT EMAIL CONTACT PHONE*CONTACT PHONE CAMPER AGES* 5-8 8-12 Other Total # of Students (max 50)Total # of Students (max 40) Number of Students with IEP or 504*How many students have an IEP or a 504 plan?NATURE AT CAMP THEME*NATURE AT CAMPTHEME: Select OneAvailable Programs (select one)All About Animals (ages 5-8)Survival of the Fittest (ages 8-12)Hunters of the Night Sky (ages 8-12)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