SCHEDULE A NATURE IN THE CLASSROOM WITH IRVINE

  • NAME OF SCHOOL OR ORGANIZATION
  • SCHOOL ADDRESS
  • PROGRAM ADDRESS (if different from above) For all VIRTUAL presentations, enter VIRTUAL
  • CONTACT NAME - First and Last
  • CONTACT EMAIL
  • CONTACT PHONE
  • GRADE LEVEL
  • Expected Number of Students
  • How many students have an IEP or a 504 plan?
  • NATURE IN THE CLASSROOM THEME: Select One
  • REQUESTED START TIME. (Earliest start is 9:30AM)
  • REQUESTED PROGRAM DURATION, IF DIFFERENT FROM STANDARD (Standard presentation is 1 hour; standard lesson is 90 minutes.)
  • 1st Choice Date (Mon-Fri only) PLEASE NOTE: This is not a guarantee. Your date request will be reviewed and confirmed via email by our Education Program Coordinator.
  • 2nd Choice Date (Mon-Fri only) PLEASE NOTE: This is not a guarantee. Your date request will be reviewed and confirmed via email by our Education Program Coordinator.
  • 3rd Choice Date (Mon-Fri only) PLEASE NOTE: This is not a guarantee. Your date request will be reviewed and confirmed via email by our Education Program Coordinator.
  • Special Needs/Accommodations