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Pronoun

Title

First Name

Last Name

Phone Number

Personal Email

Some school districts have strong firewalls. Please include a personal e-mail as a backup.

School Name

School Street Address

City

Province

Postal Code

Grade Level(s)

Number of Students

Date of Field Trip

Number of Buses

Field Trip Destination (First Choice)

Field Trip Destination (Second Choice)

Reason for Field Trip

How will this field trip facilitate your students learning? e.g. subjects, units, types of learning, etc.

Comments

Confirmation

I confirm that I have read all the important information station above in this form.