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Water Explorers Request Form

Request Form for Water Explorers

Requested Program

Requested Program
We are able to provide one lesson only to multiple classes in one school day.
Please select the Monday of your requested week. Please give at least 1 week advance notice.
Grade Level
Only one grade per request.
Number of Classes Participating
(Minimum of 50 students required.)
School Address
School Address
Street Number and Name
Additional Information
City
State/Province
Zip/Postal

Contact Information

Contact Information
School, teacher or administrator only.
Personal or work, whichever is best to reach you.
In case of questions on the day of the presentation.
Different teacher or administrator - in case of difficulty reaching the primary contact.
Laptop/Projector: Do you have a laptop and projector available for our use? These are not needed but if available, we can add visuals.

Requested Schedule

Requested Schedule

Please fill out the scheduling chart below according to the example provided. All lessons are 45 minutes. Please provide 5 minutes between lessons to reset supplies and a lunch break if requesting more than 3 classes.

Class 1

Class 1
If indoors, please indicate the room name or number. If outdoors, please suggest a possible gathering space. We can bring mats for outdoor seating.

Class 2

Class 2
If indoors, please indicate the room name or number. If outdoors, please suggest a possible gathering space. We can bring mats for outdoor seating.

Class 3

Class 3
If indoors, please indicate the room name or number. If outdoors, please suggest a possible gathering space. We can bring mats for outdoor seating.

Class 4

Class 4
If indoors, please indicate the room name or number. If outdoors, please suggest a possible gathering space. We can bring mats for outdoor seating.

Additional Classes

Additional Classes
If indoors, please indicate the room name or number. If outdoors, please suggest a possible gathering space. We can bring mats for outdoor seating.

Additional Details

Additional Details
Please indicate the best place for us to park and unload when we arrive. Thank you.