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REGISTRATION FORM

Go paperless! Expedite your registration requests online.
Once our registrar receives your online requests we will call/email to confirm your field trip dates and logistics. A confirmation letter, including chaperone expectations, and invoice will then be emailed to you. If you have problems sending the Registration Form online, then please call us at 1.877.324.6386 ext. 127 (toll-free). PLEASE FILL OUT THIS FORM IN ITS ENTIRETY.
 
 

CONTACT INFORMATION

School:

Address:

 
City:
State:
   Zip:

Contact Name:
E-mail:

School Phone:

Please contact me in the:
Morning  -  Afternoon
 
Has anyone been identified as your ECHO School Ambassador?
  I am the Trip Leader during this field trip


PREFERRED TRIP DATES

 Date
First Choice

Second Choice

Third Choice


GROUP INFORMATION

  Student Grades (Check all that apply)
1st 2nd 3rd 4th
5th 6th 7th 8th
 Kindergarten
 Home School Students
  Estimated number of Students attending
  Estimated number of Adults (including teachers) attending
 
Arrival Time  -   Departure Time

(Note: ECHO opens for school groups at 9:30am and closes at 5:00 pm)



Lunch:


 



No Lunch  Bringing Lunch  Buying Lunch in the Café
Please note that we do not have a dedicated lunch space. We will do our best to accommodate your group, but space can only be guaranteed to those purchasing lunch in our Café.



Transportation:
 



Car   Bus   Unknown
Bus parking is free and located near Perkin's Pier, on South Champlain Street, or at Leddy Park; car parking in our lot is $4 per vehicle. To get to our lot, on College Street heading toward the lake, cross the railroad track and take a left onto our driveway to our lot.
 
Please describe any sensory, physical, or behavioral needs within your group, including students with one-on-one aide:
 


PROGRAM REQUESTS

   Our group will be participating in self-guided programs only.
Students will be able to try scheduled ECHO Encounters
 


TEACHER'S CHOICE
ECHO Staff-led programs

Please choose one program and enter the number of groups for your requested program; maximum of 25 / minimum of 10 students per group.

# of
Groups

Program Title

Grade Range

Duration

Wetland Wonders K - 3 35 min

Native American Games K - 3 45 min

Amphibians Around Us K - 3 45 min

Our Watershed Alive K - 6 45 min

Rock and Roll Geology 3 - 6 45 min

Native American Artifact Inquiry 3 - 6 45 min

Properties of Water 3 - 6 45 min

Life in Lake Champlain K - 6 45 min


COMMENTS & QUESTIONS

 How will your trip to ECHO meet educational goals?

 This trip will:

  Be an introduction to a specific curriculum plan.
 Occur in the middle of a curriculum unit and will enhance our school experiences.
 Conclude a specific curriculum plan.
 Not be related to any particular unit of study, but serves as a general field trip about the Lake Champlain Basin.
 
 

Please list any further questions or comments at this time:
 

 
 
 

©2014 LCBSC - ECHO Lake Aquarium and Science Center/Leahy Center for Lake Champlain - One College St. - Burlington VT 05401 - 1.877.324.6386
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