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CCA School Program Interest Form
Welcome! Please use this form to start setting up your school's program.
12
Questions
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1
Name
*
This field is required.
First Name
Last Name
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2
Email
*
This field is required.
example@example.com
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3
Phone Number
Please enter a valid phone number.
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4
School Name
*
This field is required.
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5
What grade level(s) are your students?
*
This field is required.
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
College/University
Adult Education
Other
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6
Approximately how many students will be participating?
*
This field is required.
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7
I would like to schedule a
*
This field is required.
Discovery Lab field trip (students come to the Aquarium & complete a hands-on lesson)
Marine Life Monitoring field trip (students conduct a coastal field survey)
Tidepools on Tour program (Aquarium staff visit your school)
Floating Lab (students board a boat and sample San Luis Bay)
Pre-K program (students come to the Aquarium & complete a hands-on lesson)
Virtual field trip (Aquarium staff remotely connect with your classroom)
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8
Date Preference (1 of 3)
*
This field is required.
-
Date
Year
Month
Day
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9
Date Preference (2 of 3)
-
Date
Year
Month
Day
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10
Date Preference (3 of 3)
-
Date
Year
Month
Day
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11
Will there be any students attending that need additional assistance or accommodations?
*
This field is required.
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12
Is there anything else you would like us to know?
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