GreenUP Ecology Park

PROGRAM REGISTRATION FORM

Teacher First Name*:

Teacher Last Name*:

Contact Email*:

Grade*:
S.K.12345678

Number of Students*:

Select Your School (if not listed, select other)*:
Adam Scott Int PSApsley PSArmour Heights PSBuckhorn PSChemong PSThe Children's Montessori & Preparatory School IncEdmison Heights PSHavelock-Belmont PSHighland Heights PSImmaculate Conception CESJames Strath PSKawartha Heights PSKawartha MontessoriKeith Wightman PSKenner Int PSKing George PSLakefield District PSLakefield Int PSMonsignor JamotMonsignor O'Donoghue CESMillbrook/South CavanNorth Cavan PSNorth Shore PSNorwood District PSOtonabee Valley PSPrince of Wales PSQueen Elizabeth PSQueen Mary PSRF Downey PSRhema Christian SchoolRoger Neilson PSSt Alphonsus CESSt Anne CESSt Catherine CESSt John CESSt Joseph CES (Douro)St Martin CES (Ennismore)St Patrick CESSt Paul CES (Ptbo)St Paul CES (Lakefield)St Paul CES (Norwood)St Teresa CESWarsaw PSWestmount PSOther

If other, please write in school name:

Step 1: Pick a Date!

Morning Program (9:30am - 11:30pm)Afternoon Program (12:30pm - 2:30pm)

Step 2: Choose Your Program

Please select ONE program option from the list below

POLLEN POWER Grades: K, 1, 2 LIFECYCLES Grades: K, 1, 2 FOOD Grades: K, 1, 2SEASONAL CHANGES Grades: K, 1, 2 WATER Grades: 3, 4 PLANTS, TREES, AND SEEDS Grades: 3, 4 SOIL EROSION AND COMPOST Grades: 3, 4 ECOSYSTEMS & HABITATSGrades: 5, 6 INVASIVE SPECIES Grades: 6, 7

To ensure our educators can meet the needs of your students to the best of our abilities please share any special needs, accommodations or comments that might be helpful.

Special needs / Accommodations / Comments?:

Step 3: How to pay! Please choose - payment must be made prior to visit or upon arrival

$10/student x _________ students = $ [CP_CALCULATED_FIELDS id="6"]

Note: You are responsible for paying based on the number of students you have booked.

There are two ways to pay:

 I will bring a cheque to the Park on the day of their program I will have GreenUP invoice the school

Step 4: You are ready to book!

Please Send me more information about the School Trip by Transit Program
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