DTE Discover Your Watershed Program Request Form

DTE Discover Your Watershed Program Request Form
Fill out the form below to start your registration for a Discover Your Watershed program!
- This program includes 2 seperate visits, one where we visit your school for a 1-hour in classroom lesson and the other where we will meet your students at a park near your school with water (ideally a river) in it.
  - If you aren't sure what park to visit, just let us know in the form and we can help plan!
- You will recieve a response to this form via e-mail in up to 2 business days.
School Name*
Contact Name*

First NameLast Name
School Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
# Students*
Grade*
What grade(s) are the children in?

Booking Information
In-Classroom Lesson

For each group of 30-ish students, we will do a separate 1-hour long session. Ideally, we can do your entire grade in one day, but we can visit on multiple days if not.
How many classes (groups of 30-ish students) will we be visiting?*
Preferred date*

MonthDayYear
Date
Second Choice*

MonthDayYear
Date
What time of day works best? If there will be multiple programs, please give an ideal schedule here.*
Does your group have any special needs?
Comments or questions:

Booking Information
River Visit Program

The River Visit program is 1.5 hours of activities, with an option to add on a picnic lunch at the park for 30 minutes. Each 1.5 hour river visit program can accommodate up to 90 students. We can book multiple dates if needed or multiple programs on one day!
Preferred date*

MonthDayYear
Date
Second Choice*

MonthDayYear
Date
What time of day works best? If there will be multiple programs, please give an ideal schedule here.*
What park near your school will we be visiting? If you aren't sure, we can help find a good place!*

Bussing Funds
These funds are made possible by the generosity of the DTE Foundation.
YesNo
% of students Receiving Lunches
Percentage of Students Receiving Free/Reduced Lunches

Please submit your form. Your program is not reserved until our staff have contacted you to confirm availability.
- You will be contacted via e-mail within 2 business days.
Please verify that you are human*
Should be Empty:

Booking Information