Charlotte's Quest Nature Center

Field Trip Registation

Contact Name_______________________________________

School/Facility/Organization Name_______________________________________

Address______________________________________________

City__________________________ State__________ Zip_____________

Phone____________________________

Email_______________________________________
*(all of this information is confidential and only used to contact you regarding field trips.)

Number Attending

Students__________________

Chaperones__________________

Teachers__________________

Classes__________________

Date of visit (provide both day and date, e.g. September 23)

First Choice____________________________________

Second Choice___________________________________

Third Choice____________________________________

Arrival Time__________________

Departure Time________________

Special Needs:

Please list any special needs (e.g. wheelchair) your students may have and the number of extra chaperones who will accompany them (in addition to the ones listed above).

___________________________________________________________________________________________________

Field Trip Type

Please circle what type of program you are interested in studying.
♦ Animals
♦ Birds
♦ Trees
♦ Flowers
♦ Plants
♦ Insects
♦ Spiders
♦ Soil
♦ Pond_Life
♦ Seeds
♦ Other

Other from above detailed______________________________________________________________________________

Allergies:

Please list any allergies (e.g. foods, drinks, stings, bites, etc.)

The cost per field trip is $2.00 per person with a $25.00 minimum. For our Naturalist to visit your facility during an Outreach Program the cost is $2.00 per person with a $50.00 minimum. We do not at this time accept credit cards or debit cards. Please pay by check or cash. Checks should be made out to the Manchester Parks Foundation, the caretakers of Charlotte's Quest Nature Center. If you pay in cash, your payment must be exact for the number of visitors, as change cannot be made. To cancel or alter your field trip plans, please call 410-258-6357.

Any reductions in your reservation numbers or field trip cancellations need to be made up to 48 hours prior to your scheduled visit.

Are you interested in a trip to our site or an Outreach Program?
_______Trip to Charlotte's Quest
_______Outreach Program

* I have read and will abide by the Nature Center's Facilities Use policies and information. I understand that inquiries are accepted on a first come first serve basis.

Total enclosed for trips $__________________