Field Trip Request Company School School Name * Street Address * City * State Zip Teacher Teacher / Primary Contact Name * Email * Teacher Phone (School) Teacher Phone (Cell) Visit Details Program(s) Interested in: * The Wondrous World of Water (Pre-K) Understanding the Urban Watershed (K-12) Seeing is Believing (Middle & High School) Wastewater Treatment Plant Tour (Grades 4 & Up) Drinking Water Treatment Plant Tour (Grades 4 & Up) Preferred Date of Visit * Alternate Dates * Alternate Date Alternate Date Number of Participants *Up to 50 per visit (33 for plant tours) Grade Levels of Participants * Number of Chaperones *Minimum 1 per 10 Participants Accessibility Please note that plant tours are NOT ADA-accessible. Please check any that apply to your group: One or more participants are deaf or hard of hearing. One or more participants are blind or have low vision. One or more participants have a physical disability and/or use a wheelchair, walker, etc. One or more participants have a developmental or learning disability. Please describe any special needs or accommodations your group will require and provide any additional notes or requests here: More Info How did you hear about us? If applicable, how are you (or will you be) connecting this field trip to something your students are learning in the classroom?