Field Trip Registration Form

*Required Information

Personal Information Name* Address* P.O. Box, Apartment#

City:

State:

Zip:

Phone

Number of each planning to attend Students* Chaperones* Teacher* Classes*

Indicate which date you would like to participate (provide date, e.g. June 19-20)

First Choice:*

Second Choice:*

Third Choice:*

Start Time
AM PM

End Time
AM PM

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

Field Trip Type *Please indicate what type of program you are interested in studying.

Other from above detailed

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

FeesA field trip with our Naturalist at Charlotte's Quest:

$2.00 per student with a $25.00 minimum.

For our Naturalist to visit your facility during an Outreach Program:

$2.00 per student 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 payable 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 fieldtrip plans, please call 410-258-6357 or Email Us.

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

Are you interested in a trip to our site or an Outreach Program?*

Registration Information

Press submit at the bottom of this form to send us your inquiry or print and mail to:

Charlotte's Quest Nature Center Field Trips
PO Box 864
Manchester, MD 21102

Printable Version

Reservations are not accepted less than 14 days prior to visit. Once registered, teachers and/or contacts will receive a Confirmation Packet. The Confirmation Packet will contain verification of the day approved for your field trip and/or Outreach Program and other pertinent information. If no Confirmation Packet is received within two to three weeks of registration submission, please call 410-258-6357 or Email Us.

Picnic facilities are available for a snack or lunch before or after on-site programs. No time is available during the field trip so please plan accordingly. If you would like to stay past your field trip time for lunch or snack please let us know. there is no garbage service which requires all trash to be packed out. We ask that you supply your own trash bags.

Students must be kept under adult supervision at all times. Failure to adequately supervise individuals within your group may result in the group being asked to leave the Nature Center. Please understand that large groups of 15 or more may be divided into smaller groups.

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

WHEN FINISHED FILLING OUT THIS FORM

Please click the "Send My Information" button.
At the Confirmation Page, check your information and click "continue".
You will see a screen stating that your "Data Has Been Sent".
Scroll to the bottom and click "Return to Website."
You will be redirected back to CQNC's web site.

THANK YOU!

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WHEN FINISHED FILLING OUT THIS FORM

Comments to the Webmaster: Email Webmaster

Internet Service, hosting, & domain name donated by QUANTUM INTERNET SERVICES of Manchester, MD
Sharon Hughes, Website Designer & Webmaster

WHEN FINISHED FILLING OUT THIS FORM

Comments to the Webmaster: Email Webmaster

Internet Service, hosting, & domain name donated by QUANTUM INTERNET SERVICES of Manchester, MD Sharon Hughes, Website Designer & Webmaster

Internet Service, hosting, & domain name donated by QUANTUM INTERNET SERVICES of Manchester, MD
Sharon Hughes, Website Designer & Webmaster