THIS IS AN OUTDATED FORM: 2018-19 form is at: https://goo.gl/forms/D8CAzU3nh9AUWmYe2 (google form)

MAKE THE SANCTUARY YOUR CLASSROOM
Using the enormous appeal of marine wildlife and habitats, the Sanctuary Visitor Center offers hands-on, lively programs on many marine topics. Programs are 90 minutes long, interactive, grade specific, correlate to state standards and include indoor and outdoor components. Cost: $160 per program.

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* 1. Teacher First Name

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* 2. Teacher Last Name

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* 3. School or Organization Name

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* 4. School or Organization Phone

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* 6. Street Address

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* 7. City

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* 8. State

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* 9. Zip Code

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* 10. County

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* 11. Email

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* 12. Visitor Center Program

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* 13. Number of Classes Interested

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* 14. Number of Students per Class

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* 15. Number of Chaperones (Approximate)

Please Select From the Following Program Dates: (We Can Only Teach One Class Per Time Slot)
If Possible, Please Provide Multiple Time Slots
FALL PROGRAMS 2016

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* 16. October Availability

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* 17. November Availability

SPRING PROGRAMS 2017

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* 18. February: All Program Slots Filled

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* 19. March Availability

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* 20. April Availability

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* 21. May Availability

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* 22. Do you have any other comments or questions?

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