Water Treatment Plant Virtual Tour Request Form

2. Fill out this form to request a virtual Water Treatment Plant Tour through the CCWD Water Education Program.
   For the 2020/2021 school year, these virtual trips are being scheduled on a first come, first served basis. CCWD partners with the Gardens at Heather Farms to provide these virtual trips.

   For the 2020/2021 school year, these virtual trips are being scheduled on a first come, first served basis. CCWD partners with the Gardens at Heather Farms to provide these virtual trips.

4. This program will last one hour.

   This program will last one hour.

6. Please note: Water Treatment Plant Tours are available for 5th grade classes only.

   Please note: Water Treatment Plant Tours are available for 5th grade classes only.

8. Teacher Name*

10. School*

12. Email Address*

14. Second Email Address

16. Phone Number*

18. School District*
    -- Select One --MDUSDAUSDPUSDMUSDOUESDBUSDPrivate SchoolHome School

20. Number of virtual tours*

    *In the virtual environment, we have found it beneficial for learning to cap virtual tours to no more than 40 students, so if you have four 5th grade-level classes, we would recommend four virtual tours.

22. Number of students per tour*

24. What virtual platform do you use in the classroom?*

    (i.e. Zoom, Google Classroom, SeeSaw, Microsoft Teams, etc.)

26. Preferred days of the week

    1. Monday
    2. Tuesday
    3. Wednesday
    4. Thursday
    5. Friday
27. Preferred months of the school year

    1. September
    2. October
    3. November
    4. December
    5. January

    1. February
    2. March
    3. April
    4. May

29. What time(s) would work best for your program?*

    *These programs are currently scheduled for 60 minutes.

31. Special Accommodations

33. Comments/Questions

35. Key Points
    <ul><li>You will be contacted by a representative from the Gardens at Heather Farms to complete the scheduling process.</li><li>Questions about scheduling or programs? <a class="Hyperlink" title="Email Allyson BeCraft" href="mailto:allyson@gardenshf.org">Email Allyson BeCraft</a> with the Gardens at Heather Farms.</li><li>Program duration is 60 minutes.</li><li>Program format: We ask that you make our instructors a temporary host on your account so they can conduct the program, share their screens, etc.</li><li>Please select the option to email yourself a copy for your records below and submit the form.</li></ul>

    • You will be contacted by a representative from the Gardens at Heather Farms to complete the scheduling process.
    • Questions about scheduling or programs? Email Allyson BeCraft with the Gardens at Heather Farms.
    • Program duration is 60 minutes.
    • Program format: We ask that you make our instructors a temporary host on your account so they can conduct the program, share their screens, etc.
    • Please select the option to email yourself a copy for your records below and submit the form.

Leave This Blank:


37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit

* indicates a required field