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2. CCWD's Water Education Program has returned to an in-person format for the 2022/2023 school year.

   This form serves two purposes:

   1. To sign up for a Los Vaqueros Field Trip for the 2022/2023 school year.
   2. To provide feedback on in-person program accommodations.  

   Please note: 

   • Los Vaqueros Field Trips are available for 3rd and 4th grade classes. 
   • Programs are offered on a first come, first served basis. 
   • This field trip is designed for 1 class per session.
   • A limited number of 60 minute virtual programs are available upon request.
   • Programs are administered by the Gardens at Heather Farm.

6. Teacher Information

8. Teacher Name*
9. Cell Phone*
11. Email Address*
12. Second Email Address
14. Are you signing up for multiple teachers?*

    1. No

    1. Yes
16. Additional Teacher Email Address(es)

20. School Information

22. School*
23. Is your school a Title I school?*

    1. No

    1. Yes
25. School District*
    -- Select One --MDUSDAUSDPUSDMUSDOUESDBUSDPrivate SchoolHome School
26. Grade Level*
    -- Select One --3rd Grade4th Grade

30. Scheduling Information

32. Number of classes in grade level*
33. Number of students in each class*
35. Which month(s) would you prefer to schedule a field trip? Select three.*

    1. November
    2. December
    3. January
    4. February

    1. March
    2. April
    3. May

39. Accommodation Information

41. What student accommodations are needed? Please also include COVID-19 protocols as required by your district.
43. Comments/Questions
47. Key Points
    • You will be contacted by a representative from the Gardens at Heather Farm to complete the scheduling process.
    • Questions about in-person or virtual programs and scheduling? Email the Gardens at Heather Farm.
    • Program duration is 4.5 hours over one day: Nature Hike, Watershed Experience, Cultural/Historical Experience.
    • Please select the option to email yourself a copy for your records below and submit the form.
Leave This Blank:


49. 1. Receive an email copy of this form.
50. Email address

    This field is not part of the form submission.

51. Submit

* indicates a required field