Offsite Tampa Bay Watch Field Trip Request Form

Tampa Bay Watch Mobile Field Trip Request Form
Step 1: About you and your group
Full Name:*

First NameLast Name
Name of Lead Chaperone Attending with the Group (if different):

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
School or Group Name:*
School or Group's Address:*
Is there space to park our van at your location? If so, where would be best?*
Is there anything we should be aware of about your location before we arrive?

Type of School/Group:*

Public SchoolPrivate SchoolCharter SchoolHomeschool GroupOther
Would you like to request financial assistance for the program you are booking?*

YesNot at this time
Number of Students Attending Program:*
Number of Chaperones Attending Program:*
Grade Level(s) of Students Attending Program: *
Number of Classes*
25 students per class
Does your group have any special needs or requirements (ex. physical or learning disabilities, etc.)? If yes, please explain.

Application for Financial Assistance

Tampa Bay Watch is dedicated to making marine science education accessible to traditionally marginalized and/or underserved community members. We continually identify and build partnerships to better understand barriers to participation and overcome these challenges in various ways. Our multifaceted approach includes securing funds through grants, corporate donors, and individual donors to cover our operating costs and to offer discounted - or, in some cases, free - learning opportunities to groups in need. If you are seeking financial support to attend an educational program at Tampa Bay Watch, please complete the application below and we will follow up with you regarding your request. As a 501(c)(3) nonprofit with a limited budget, Tampa Bay Watch requires most groups to make an affordable monetary contribution to help offset the cost of their learning experience. After reviewing your application, we typically use a sliding scale to identify and suggest a reasonable payment amount. If you are truly unable to afford the amount requested, please let us know. We do not want to turn students away from discovering Tampa Bay with us, so we will do our best to find a solution.
Please select the option that best describes your organization.

Title I SchoolNon-ProfitOther
Please select your county:
Has your organization been to a program facilitated by Tampa Bay Watch within the past year?

YesNo
If your organization has experienced a Tampa Bay Watch program this past year, how many?
Please provide a brief explanation of why your group requires financial assistance.
What amount are you able to comfortably contribute towards the cost of your learning experience at Tampa Bay Watch?
What impact do you expect participation in an educational program at Tampa Bay Watch to have on participants in your group?
Is there any additional information you would like to share with us to support your application for financial assistance? (For example, does your group include students who are currently homeless, residing in a homeless shelter, or in foster care? Do families in your group receive SNAP benefits or participate in a free or reduced lunch program? Has your school or organization recently experienced an event that creates need?)

Student Demographics
Approximate number of male students:
Approximate number of female students:
Approximate number of nonbinary students:
Race/Ethnicity

This section is OPTIONAL, but the information collected provides useful data to help us fundraise and better serve our community. PLEASE FILL IN THE APPROXIMATE NUMBER OF STUDENTS IN YOUR CLASS APPLICABLE TO EACH CATEGORY:
African American:
Asian:
Caucasian:
Hispanic:
Hawaiian or Pacific Islander:
Multiracial:
Other (please provide category and number of students):

Select Dates & Times

Pending availability, your group will be scheduled within your requested time frame. Please list several choices (including specific dates) in order of preference.
Option 1:*

MonthDayYear
Date
Option 2:*

MonthDayYear
Date
Option 3:

MonthDayYear
Date
Option 4:

MonthDayYear
Date
Earliest Possible Arrival Time:*

Hour Minutes

AM/PM Option
Latest Possible Departure Time:*

Hour Minutes

AM/PM Option
What time do the students have lunch?*
Please include the start and end time.
Are there any other time restrictions that we should be aware of?*
Art Class, Music Class, etc.

Marine Science on the Move Programming

Our team comes to you
At Tampa Bay Watch, hands-on field trips are our specialty — we think every child should have a chance to explore the estuary! We understand that transportation for students can pose a challenge, so we designed a way to bring marine science directly to you. Marine Science on the Move offers visits to your classroom, in addition to the traditional field trips we host on the St. Pete Pier and at our headquarters in Tierra Verde, FL.
Classroom Labs*

Invertebrate InvestigationHerpetology 101Plankton EncounterSustainable Dissections ($50 surcharge per class)Event Visit
What is the best location for us to set up our program at your school?
When we teach multiple groups, we prefer to remain in one location for the duration of our visit while students rotate through.
If your preferred space is outdoors, will there be a backup location available in the event of inclement weather?
Is there electricity available?

YesNo
Is there a sink available?

YesNo

By proceeding with this field trip request, I agree to the following: I agree to accept full risk and responsibility for my party’s participation in this educational program and agree to release, hold harmless and indemnify Tampa Bay Watch and all employees, agents, directors, or representatives of the organization in their official and individual capacities from all expenses, attorney fees, claims, or liability whatsoever, including claims based upon such defendants own negligence arising from or related to myself, my children, or to my party’s participation in Tampa Bay Watch's educational program. I agree that all affiliates of Tampa Bay Watch shall not be held liable under any circumstances for any injuries or damages, be they physical injuries or otherwise, arising out of or resulting from or in any way associated with my party’s participation in the educational program. By continuing with registration, I acknowledge that I have carefully read, understand the contents thereof, and agree to this release.*

I agree
I grant Tampa Bay Watch and its designated partners the right to take photographs and/or video footage of me and my group. I authorize Tampa Bay Watch, its assigns, and transferees to copyright, use and publish the same in print and/or electronically. I agree that Tampa Bay Watch may use such photographs or videos of me, my child, or my party, with or without my name, and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and web content. By continuing with registration, I acknowledge that I have carefully read, understand the contents thereof, and agree to this release.*

I agreeI disagree
Do you have any questions or concerns that we can assist with?
Should be Empty: