Appointment Request Form
Let us know how we can help you!
Teacher Full Name
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First Name
Last Name
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
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example@example.com
School Name:
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Grade Level:
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How many students will be attending this field trip?
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How many teachers and chaperones will attend the field trip. (For safety purposes we recommend 1:8 teacher:student ratio)
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Preferred date option 1: Must be at least two weeks from date of request.
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Preferred date option 2: Must be at least two weeks from date of request.
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Preferred date option 3: Must be at least two weeks from date of request.
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Which park established program would you like to schedule
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PreK-2nd Grade: VC tour and Introduction to the National Park***Program Length-1 hour
4th Grade: Marine Debris Program Part One (In-Class)***Program Length-30 minutes
4th Grade: Marine Debris Program Part 2 (Park Visitor Center)***Program Length: 2 hours
4th Grade: Marine Debris Program Part 3 (Clean-up location To Be Determined)***Program Length: 2-3 hours
5th Grade: Dendrology- Paleotropical Rainforest ***Program Length: 3 hours
6th-8th Grade: Volunteer Project***Program Length: 3 hours
9th-12th Grade: Volunteer Project***Program Length: 3 hours
9th-12th Grade: Guided Hike (Native vs Invasive species)***Program Length: 3 hours
Samoan Handicrafts (In Class)***Program Length: 1-2 hours (teacher preference)
Do you need bus funding? If you answer yes, the national park will coordinate your transportation with Taiai Transport. (Currently, funding is only offered for 4th and 4th grade programs)
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Yes
No
Maybe
What other comments or statements have been made in the planning of this session? Is there anything that you want us to know as we work on planning your field trip? Are there any medical or safety concerns that we need to be aware of?
Submit
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