School InformationDistrict (if applicable) School Name County Street Address City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZip Coordinator InformationContact Person Email* Phone NumberAlternate Phone NumberProgram DetailsSelect the program format of interest*Choose from the Dropdown MenuEducator-Led Program (Available Sept. to May)Self-Guided Program (Available Year Round)Virtual Program (Available Sept. to May)Arrival Time : Hours Minutes AM PM AM/PM Departure Time : Hours Minutes AM PM AM/PM Date (1st Preference)* MM slash DD slash YYYY Please note that Educator-Led and Virtual Programs are only available from September to May.Date (2nd Preference) MM slash DD slash YYYY Please note that Educator-Led and Virtual Programs are only available from September to May.Date (3rd Preference) MM slash DD slash YYYY Please note that Educator-Led and Virtual Programs are only available from September to May.Number of Students*Number of Educators/Aides*Number of Chaperones*Number of Classes/Groups*A maximum of 25 participants total, including the combined number of students, educators, and chaperones.Grade Level Select a Program*Choose from the Dropdown MenuN/A - Self-Guided ProgramBlooms & Butterflies (Pre-K)Garden Detectives (Pre-K)Blooms & Butterflies (K-8)The Nature of Glass (K-12)Biome Exploration (6-12)Virtual: Native PollinatorsVirtual: The Nature of GlassPlease note any special accommodations:
