http://mounthermon.org/cms/148_Field_Trip_Reservation_Form

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Mount Hermon Outdoor Science School

Field Trip Reservation Form School/ Organization Name:___________________________________________________________ Date(s) Requesting: ________________________ Number of Participants: _______ Grade: ______ (Must have 1 adult per 8 participants. Adults are ½ the student rate))

Field Trip Options: Please review Field Trip Information Sheet to complete the below section

Half Day Field Trip ($14/participant) 9:00am-12:00pm. Choose (1) Educational Option:  Ecosystems  Aquatic Exploration  Redwoods  Birds and Snakes  Habitat Restoration  Fungus Among Us  Can I Eat That?  Solar Energy

Full Day Field Trip ($25/participant/bring your own sack lunch) 9:00am-3:00pm Number of Days Attending:____ Day One

Day Two

Day Three

Circle One Option: A B C D E

Circle One Option: A B C D E

Circle One Option: A B C D E

Based on Option, check the desired Excursion Topic(s):

Based on Option, check the desired Excursion Topic(s):

Based on Option, check the desired Excursion Topic(s):

 Ecosystems  Aquatic Exploration  Redwoods  Birds and Snakes  Habitat Restoration  Fungus Among Us!  Can I Eat That?  Solar Energy

 Ecosystems  Aquatic Exploration  Redwoods  Birds and Snakes  Habitat Restoration  Fungus Among Us!  Can I Eat That?  Solar Energy

 Ecosystems  Aquatic Exploration  Redwoods  Birds and Snakes  Habitat Restoration  Fungus Among Us!  Can I Eat That?  Solar Energy

Full Day Field Trip Availabilities: Apr. 20-24 | May 4-8, 11-15 | May 25-29 | June 1-5 *All available dates are subject to change. Reservations made on a first come, first served basis. Please register early! *Available ANY Friday! Please call to check on any other date availability.

Night Hike Excursion ($10/participant) 7:00-9:30pm *dress warmly! For office use only # of participants____

Cost Per Participant ____ Total Due: ________ Payment Information_________


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