Question Title

* 1. Name of School

Question Title

* 2. Teacher Name(s) & Email address(es)

Question Title

* 3. School Phone Number

Question Title

* 4. Grade(s)

Question Title

* 5. Class Size(s) (Maximum Capacity: 48 students)

Question Title

* 6. Anticipated Number of Chaperones (Teachers, EA's, Parent Volunteers)

Question Title

* 7. Transportation Type

Question Title

* 8. Top 3 Dates (May 8 - June 5, excluding STAT Holidays) / Times (Grade K & 1: 9:15am OR 12:00pm. Grade 4: 9:15am)

First Choice
Second Choice
Third Choice

Question Title

* 9. For K & 1 Programs: Planning to eat lunch at outdoor picnic area on site?

Question Title

* 10. Special Accommodations (Mobility, ESL, EA Support, etc)

T