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Registration Form

 

Please note: Please use a separate form for each class that is registered for a field trip. Tours are offered from late September to October and from April to May, between 8:30 a.m. and noon. Spring tours will be confirmed in February.

Tour Options           Times 8:30 a.m. – Noon

 

1 Program: Please select a program(s)

From Seed to Plant Barn Yard Fun From the Ground Up Water Works
First grade Kindergarten Third grade Kindergarten
Third grade First grade Other First grade
Other Second grade   Second grade
  Fourth grade   Third grade
  Other   Fourth grade
      Fifth grade
Amazing Insects Pumpkins From Field to Food  
Second grade First grade Fifth grade  
Other Third grade    
  Other    
       
2 Field Trip Registration: Fall – Spring
School Name
 Requested Program
Teacher’s Name
 E-mail
School Address
 Grade
City
State
 Zip Code
School Phone
 School Fax
# of Buses
 # of Students
 # of Adults

 

3 Date & Time Preferences Please list a selection of dates and times when your class is available for a field trip: Date/Time
First choice Second choice Third choice
Arrival Time:                                    Departure Time:
Are there special needs or accommodations?

 

I understand that I must bring at least one adult chaperone for every 10 students. I will keep students under adult supervision while they are on the Farm. I realize that failure to adequately supervise the individuals in my group may result in the group being asked to leave the farm.

 

Teacher Submitting Form:

 

Double check! Did You:

  • Use a different form for each class?
  • Make sure that you have at least one chaperone per 10 students?
  • Indicate the name of the teacher or group leader for each class?
  • List a selection of dates when your class is available for a field trip?
  • Provide realistic arrival and departure times?
The Cooperative Extension Program is located in Coltrane Hall on campus. 336.334.7956.
The School of Agriculture and Environmental Sciences at NC A&T State University The College of Agriculture & Life Sciences at NC State University NC A&T State University Cooperative Extension Contacts