Earth School Winter 2025 Family Field Trip Registration

Earth School Winter 2025 Family Field Trip Registration
Full name of primary caregiver (i.e., attending caregiver)*

First NameLast Name
Email of primary caregiver*
We will never share your email with anyone else.
Phone number of primary caregiver*
Please enter a valid phone number.
Relationship of primary caregiver to child/ren*
Where are you coming from?*
Town/city or county
What is your family's ethnic and/or cultural background?*
How did you hear about our Winter 2025 Family Field Trip series?*
e.g., WhatsApp, FaceBook group, word of mouth
Which Family Field Trip(s) do you plan on attending?*

1/9 (Thursday) @ 10am-3pm: National Museum of African American History (*20 tickets reserved*)1/15 (Wednesday) @ 10am-2pm: Brookside Nature Center1/17 (Friday) @ 10am-3pm: National Air and Space Museum (*20 tickets reserved*)1/25 (Saturday) @ 12pm-1pm: KanKouran Children's Dance class (ages 4-12, $12 per child)1/27 (Monday) @ 10am-2pm: Planet Word - NEW KID with Imagination Stage1/30 (Thursday) @ 10am-2pm: Patuxent Research Refuge National Wildlife Visitor Center2/4 (Tuesday) @ 10am-2pm: Howard County Conservancy2/8 (Saturday) @ 11am-12pm: KanKouran Children's Drum class ($12 per child)2/10 (Monday) @ 10am-2pm: Meadowside Nature Center2/12 (Wednesday) @ 10am-2pm: National Museum of Natural History2/18 (Tuesday) @ 10am-2pm: Watkins Nature Center2/25 (Tuesday) @ 10am-3pm: Maryland Science Center ($21.95 for ages 2-13, $29.95 for ages 13+, free for members and ASTC passport holders, $5 per person for Access Science eligible families)2/27 (Thursday) @ 10am-2pm: Robinson Nature Center
First names and ages of child/ren attending*
What topics or activities interest your child/ren the most?*
Do you have a child with any environmental allergies?*
e.g., grass, pollen, fur
How comfortable is/are your child/ren with spending time outdoors?*

Very comfortable with extensive experience outdoorsComfortable with some experience outdoorsComfortable but unfamiliar with spending time outdoorsUnfamiliar and will require additional attention
Do you have a child with support needs and/or other accommodations that are needed to help them participate fully?*

YesNoMaybe
If you answered "Yes" or "Maybe" to the previous question, use this space to elaborate on your answer.
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