Class Trip Reservation Form Education Department- Class Trip Reservations 1st choice - Date* Date Format: MM slash DD slash YYYY We will do our best to accommodate your first choice. However, for scheduling purposes, we recommend that you select two alternate dates. 2nd choice - Date* Date Format: MM slash DD slash YYYY 3rd choice - Date* Date Format: MM slash DD slash YYYY Start Time of Program*9:00 AM9:15 AM9:30 AM9:45 AM10:00 AM10:15 AM10:30 AM10:45 AM11:00 AM11:15 AM11:30 AM11:45 AM12:00 PM12:15 PM12:30 PM12:45 PM1:00 PM1:15 PM1:30 PM1:45 PM2:00 PM2:15 PM2:30 PM2:45 PMWhich tour do you want for your group?*New York Chinese Scholar’s GardenWetlandsPastoral Grounds and GardensHeritage FarmHistorical BuildingsCompost Demo SiteI'd like the Snug Harbor Education team to visit our classroomI am not interested in a tour component at this time.Tours of Snug Harbor are the core of the experience, and we offer class tours of the NY Chinese Scholar's Garden (NYCSG), Wetlands, Grounds/Gardens, the Heritage Farm, and Historical Buildings.What workshop would you like with your group's tour?*NYCSG - Beautiful WritingNYCSG - Art and MeditationNYCSG - Geology in the GardenNYCSG - Dragon Boat Festival (Offered May - July)NYCSG - Autumn Moon (Offered Sept - Dec)NYCSG - Chinese New Year (Offered Dec - April)Historical Buildings - Snug Harbor ArchitectureHistorical Buildings - Snug Harbor CommunityWetlands - Wetlands EnergyWetlands - Wetlands WaterWetlands - Wetlands Plant DiscoveryWetlands - Storm SurvivalGrounds & Gardens - Natural PoetryGrounds & Gardens - Habitat HuntGrounds & Gardens - Autumn Leaves (Sept - Dec)Grounds & Gardens - Tree IDGrounds & Gardens - Garden DesignGrounds & Gardens - Garden EngineeringHeritage Farm - Sprout to MouthHeritage Farm - Farm SustainabilityHeritage Farm - SeedsHeritage Farm - Plant PartsHeritage Farm - Flowers and FruitsHeritage Farm - Farm EngineeringI'm not interested in a workshop component at this timeEach tour may be paired with a workshop accompanied by insightful preparation materials, an on-site activity, and post-visit assessment exercises. Most classes can be scaled from pre-Kindergarten to high school. All classes are taught in accordance with CCSS and NGSS. See snug-harbor.org/class-trips for details. What grade level is your group?*How many classes are in this group?*How many of the above classes are 12/6:1:1?*Self-contained classes are charged at a different rate.Total number of children in group*Estimated number of adults accompanying the students*Teachers, paras, and chaperones are not charged.Name* First Last Job Title*Cell phone contact for day of trip*Alternate/work phoneEmail* Name of School*Address of School* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country If anyone in your group has learning or mobility challenges, please explain here.*If your class is visiting Snug Harbor, will you be staying for lunch?*YesNoUncertainSnug Harbor Education is visiting our classroomIf your class is visiting Snug Harbor, when do you plan to leave Snug Harbor?*Snug Harbor Education is visiting our classroom9:00 AM9:15 AM9:30 AM9:45 AM10:00 AM10:15 AM10:30 AM10:45 AM11:00 AM11:15 AM11:30 AM11:45 AM12:00 PM12:15 PM12:30 PM12:45 PM1:00 PM1:15 PM1:30 PM1:45 PM2:00 PM2:15 PM2:30 PM2:45 PMMode of transportation*Charter busSchool busPublicPrivateIf you are traveling by bus, how many buses do you expect to use?*Is your school Title I?*YesNoUncertainHow do you expect to pay for your trip?*CashCheckDOE purchase orderCredit cardThis is non-binding--we just need a general sense for our planning purposes. What is the source of your budget for your field trip?* PTA/PA School budget DOE program Students' families Grant I am interested in making a reservation for...*Tour plus workshopClassroom workshopTour onlySnug Harbor Education offers themed tours of our site, usually paired with a workshop. We can also bring the workshop directly to your classroom. Please state your preference:(Optional) How is this program relevant to your classroom?(Optional) Are there Key Ideas or Essential Questions that you hope to illustrate on this trip?How did you hear about us?Where do you usually hear about class trip opportunities?Is there anything else you would like to share with us?
