School Field Trip Program Form – Mill Creek MetroParks

Contact Information

Date of Submission *

School Name *

School District *

Contact Person *

Work Phone *

Cell Phone *

Email *

Best Time to Contact *

Contact Person On Day of Visit *

Work Phone *

Cell Phone *

Email *

Best Time to Contact *

School Street, Address, City, State, Zip Code *

County *

Program Selection

Interpretive Tours (on-site only)

There's No Place Like Ford (K-12)

Botanical Discoveries (PreK-Grade 8)

Farmer for a Day (PreK-Grade 5)

Lanterman's Mill & Gorge Hike (PreK-Grade 12)

Preferred Visit Dates *

Please list top 3 date choices

On-Site Program

On-site Start Time

9:30 am

10:00 am

11:30 am

Noon

When does the bus need to leave? *

Mode of transportation? Ex. Bus/Car/Van? *

Lunch at Facility *

Yes

No

Group Information

Please see fees below if non-Mahoning county or non-school group.

Grade *

Total Number of Students *

Please request multiple days if more than 60 students.

Number of Classes *

Number of Teachers *

Total Number of Chaperones (not including teachers) *

One adult is admitted free per 10 students; please see fees below if your school group has extra adults. Limit of 10 chaperones per group, per visit and includes teachers.

Any special needs or accommodations of the group *

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Fees	Mahoning Resident	Regular Rate NR
Schools	$2.00/student	$4.00/student
Extra adults with Schools (one adult admitted free per 10 students; all others are extra)	$3.00/adult	$5.00/adult
Non-school groups (Scouts, Homeschool, Afterschool & other Youth groups)	$2.00/person	$4.00/person

School Field Trip Program Request Form

Contact Information

Program Selection

On-Site Program

Group Information