Guided Program Request Form

Guided Program Request Form
White Memorial Conservation Center offers field trips, outreaches, and virtual programs for school groups, homeschool organizations, scout troops, libraries, senior centers, and all other groups with participants ranging from preschoolers to adults.

Please refer to White Memorial's website - https://whitememorialcc.org/school-group-programs/ - for details regarding the types of experiences offered and their associated costs.

Programs are offered all year long and can be booked up to 1 year in advance. Our calendar fills up quickly and, therefore, we cannot accommodate all requests. Please try to submit requests at least 1 month in advance; spring and summer programs often need to be booked 2-4 months in advance.

Once you submit the form below, you will receive a response from White Memorial within one week.
Your Name

First NameLast Name
E-mail Address
example@example.com
What type of organization do you represent?
Organization Name
Organization Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
YOUR Phone Number (optional)
Please enter a valid phone number.Format: (000) 000-0000.
Organization Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What type of guided experience are you looking for?
If you are requesting an outreach, is the location where the program will be presented the same as the address above? If not, please provide the address of the outreach location.
Which age level best describes your participants? (can select more than one)
If your group is a specific grade level, please list it below.
Total Number of Program Participants, INCLUDING Adults (If you do not have an established number of students/participants in your group, please skip to the next question.)
If you do NOT have an established number of people in your group, what is the maximum number of participants you can accommodate and/or do you anticipate?
Will you be splitting your total group into smaller groups (e.g. entire 4th grade is participating, but there are 3 different classes)? If so, how many smaller groups will there be? (Please keep in mind that there is a maximum of 30 people in each group at White Memorial, and groups of 50 or more are considered an "assembly" on an outreach.)
If you are booking a field trip to White Memorial, are you interested in any of these other experiences while here? Check all that apply. (For groups of 30 or more, we will need to set up rotations that utilize these other "stations.")
Is there a particular program or subject matter you would like your guided program to cover? Please refer to the list of programs and their descriptions on our webpage - https://whitememorialcc.org/school-group-programs/. If you do not see a program that fits your needs, please describe what you are looking for.
1st Choice Program Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
2nd Choice Program Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
3rd Choice Program Date (optional)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Preferred Start Time of Program(s)
If you are coming on a field trip, when is the earliest you can arrive? (Field trip programs start at 9:45am at the earliest.)
If you are coming on a field trip, when is the latest you can depart? (Please verify with your bus company.)
If you are a school group, will we need to factor in a lunch break, and if so, approximately what time?
Are there any other details you would like to share?
By submitting this form, you are making a program request only. No program is booked until a staff member from White Memorial contacts you and confirms all details. You will be contacted at the email address you provided within one week.
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