Education Program Request Form - Bayrestoration.org

Program Information

Date of Program*

Arrival Time*

:

Please arrive on time for your field trip and prepared to begin.

Time of Departure*

:

Name of School or Organization*

School System*

Number of Students*

Grade of Students*

Contact Information

Head Teacher Attending Field Trip*

First Last

Please provide contact information for one adult attending field trip for communication purposes.

Email of Head Teacher*

Secondary Contact for Teacher/Chaperone Attending:*

Please provide name and phone number.

Cell Number of Head Teacher Attending*

Address of School or Organization*

Street Address Address Line 2 City State ZIP Code

County*

Phone*

Program Details

Number of Teachers Attending*

Number of Chaperones*

Programs Requested

Birds of Prey
Remarkable Oyster
Catch a Bay Critter
Pellet Dissection (with Birds of Prey presentation)
Dead Log Scavenger Hunt
Guided Kayak

Are you a Title I school?*

Additional Information

Our typical programs are four hours long, however we are flexible with your schedule and group’s needs. Most field trips are $17.50 per student, with no charge for chaperones. Minimum price for a 4-hour field trip is $250. Contact CBEC Staff if this cost is prohibitive and lower fees can be discussed, especially for small groups. Call to discuss pricing for shorter, longer, or specialized trips. If there are any special requirements that the CBEC staff needs to be aware of, please include these here.

Special Requirements

Contract

Please read the information below carefully. Contact CBEC should you have any questions or concerns.

This Program Request Form and a $50 deposit must be completed within 10 business days of scheduling a program with CBEC to hold your program date(s). You may pay deposit online or mail a check made out to CBEC to PO Box 519 Grasonville, MD 21638. Remaining balance is due in full on the day of your scheduled trip.

Please review your Program Request form to ensure accuracy. If anything changes, such as your start or end time, number of students or chaperones attending, or special needs/requests please email us immediately. Contact Education Manager, Ashley at aperis@bayrestoration.org , 410-827-6694, or 443-786-0378 (direct line for day of communication).

CBEC reserves the right to cancel a program due to severe weather conditions. Every effort will be made to reschedule a cancelled program. All programs cancelled by CBEC will result in a full refund of all fees. Programs cancelled by Organization or Contact Person with less than 72 hours notice must pay 25% of the program fee, in addition to the non-refundable deposit. This is to cover staff time and expenses as we cannot schedule another group on that date with such short notice. The only exception is for school closures or delays where no cancellation fee will be charged, but every effort will be made to reschedule.

Deposit

Price:

Number

Email

This field is for validation purposes and should be left unchanged.

Education Program Request Form and Deposit - On Site Program