Wufoo

Teacher Information
Lead Teacher's Name * First Last
Lead Teacher's Email *
Phone * ### - ### - ####
Best Way To Reach Teacher
Phone E-Mail
Is the Lead Teacher going to attend the Biscayne Expedition workshop on Nov 19-20, 2011 *
Yes, this is my first time, or I could use a refresher- sign me up! No, I am alraedy a crafty veteran of the Elliott Key camping experience

The teacher workshop is required for first time teachers and highly recommended for any teacher who has not attended a workshop in 3 years
Second Teacher's Name * First Last
Second Teacher's Email *
Second Teacher's Phone ### - ### - ####
Is the Second Teacher going to attend the Biscayne Expedition workshop on Nov 19-20, 2011
Yes, this is my first time, or I could use a refresher- sign me up! No, I am already a crafty veteran of the Elliott Key camping experience

The teacher workshop is required for first time teachers and highly recommended for any teacher who has not attended a workshop in 3 years
School or Organization Information
School Name *
School Phone * ### - ### - ####
School Fax ### - ### - ####
School Information *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Program Information

Maximum # of students is 25
Number of Participants *

Maximum of 25 Students
Number of Chaperones *

Minimum of 1 adult for every 5 students
Grade Level(s) of Participants *

Program is designed for 4th-7th grade students
Program Details/Special Needs

The Education staff is flexible and will try to accommodate you specific camp and educational goals.
Scheduling
Program Start Date:
First Choice * MM / DD / YYYY
3 days total. Must be from December to March. Days must be either Mon. to Weds. or Weds. to Fri.
Program Start Date:
Second Choice * MM / DD / YYYY
3 days total. Must be from December to March. Days must be either Mon. to Weds. or Weds. to Fri.
Do you want to be put on the waiting list if all dates are filled?
Yes No
Are you willing to accept any available date?
Yes No

We will do our best to be flexible and accomodate your schedule.
Do Not Fill This Out

Wufoo

Teacher Information

School or Organization Information

Program Information

Scheduling