Full School Name/Organization Name *
School Address *
City *
Zip Code *
1) Program Name *
Program 1: Date Choice 2 *
Program 1: Date Choice 3 *
Program 1: Time Desired *
Program 1: Teacher First and Last Name *
Program 1: Teacher Email Address *
Program 1: Grade Level of Class *
2) Program Name
Program 2: Date Choice 2 *
Program 2: Date Choice 3 *
Program 2: Time Desired *
Program 2: Teacher First and Last Name *
Program 2: Teacher Email Address *
Program 2: Grade Level of Class *
Program 2: Number of Students *
Program 2: Room Number/Field Site Desired *
3) Program Name
Program 3: Date Choice 1
Program 3: Date Choice 2
Program 3: Date Choice 3
Program 3: Program Time Desired
Program 3: Teacher First and Last Name
Program 3: Teacher Email Address
Program 3: Grade Level
Program 3: Number of Students
Program 3: Room Number/Field Site Desired
Program 4: Date Choice 1
Program 4: Date Choice 2
Program 4: Date Choice 3
Program 4: Program Time Desired
Program 4: Teacher First and Last Name
Program 4: Teacher Email Address
Program 4: Grade Level
Program 4: Number of Students
Program 4: Room Number/Field Site Desired
5) Program Name
Program 5: Date Choice 1
Program 5: Date Choice 2
Program 5: Date Choice 3
Program 5: Program Time Desired
Program 5: Teacher First and Last Name
Program 5: Teacher Email Address
Program 5: Grade Level
Program 5: Number of Students
Program 5: Room Number/Field Site Desired
Any additional notes for us?
Additional Information for Teachers: 30 students maximum. A teacher or responsible adult must be present for the program at all times. Field trip site closest to you will be chosen unless otherwise specified. Please schedule 2-5 classroom or field programs per date selected for your school. This allows us to send available staff and supplies in the most efficient way possible. We will invoice you for programs unless they are free (sponsored).
LIMITATION OF LIABILITY AND INDEMNITY *
TYPING YOUR NAME BELOW SERVES AS YOUR DIGITAL SIGNATURE.
THE ABOVE NAMED SCHOOL AGREES TO RELEASE AND HOLD NATURE VISION, ITS OWNERS, EMPLOYEES, VOLUNTEERS AND DIRECTORS HARMLESS TO THE EXTENT PERMITTED BY LAW, FROM AND AGAINST ALL CLAIMS, DEMANDS, SUITS, PENALTIES, LOSSES, DAMAGES, JUDGMENTS AND COSTS OF ANY KIND ARISING OUT OF OR IN ANY WAY RESULTING FROM THE ACTIVITIES OF STUDENTS, TEACHERS, VOLUNTEERS, PARENTS OR OTHER DISTRICT OR SCHOOL PARTICIPANTS IN NATURE VISION ACTIVITIES, INCLUDING TRANSPORTATION TO AND FROM NATURE VISION ACTIVITIES.
THE ABOVE NAMED SCHOOL RELEASES AND AGREES TO INDEMNIFY NATURE VISION, ITS OWNERS, EMPLOYEES, VOLUNTEERS AND DIRECTORS FOR ALL LOSSES, DAMAGES, JUDGMENTS, COSTS AND EXPENSES OF ANY KIND ARISING OUT OF OR IN ANY WAY RESULTING FROM THE ACTIVITIES OF STUDENTS, TEACHERS, VOLUNTEERS, PARENTS OR OTHER DISTRICT OR SCHOOL PARTICIPANT IN NATURE VISION PROGRAMS, INCLUDING SETTLEMENT PAYMENTS, COURT JUDGMENTS AND REASONABLE LEGAL DEFENSE FEES.
Today's Date *
Today's Date
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