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2. About Water Treatment Plant Tour Field Trips

   • Field trips are available for 5th grade classes and a limited number of 6th grade classes at K–6 schools.
   • Field trips are about 90 minutes in length.
   • Field trips are offered on a first come, first served basis. 
   • This field trip is designed for 1 class per session.
   • Field trips are offered in person; a limited number of virtual programs are available upon request.
   • Field trips are administered by the Gardens at Heather Farm on behalf of Contra Costa Water District (CCWD).

6. Teacher Information

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

    1. No
    2. Yes
18. Additional Teacher Email Address(es)

22. School Information

24. School*
26. School District*
    -- Select One --MDUSDAUSDPUSDMUSDOUESDBUSDPrivate SchoolHome School
28. Grade Level*
    -- Select One --5th Grade6th Grade (at a K–6)
30. How do you plan to travel to your field trip?*

    1. Car
    2. Bus

    Learn how to get a CCWD Water Education Program bus reimbursement of up to $350 per field trip.

32. Is your school a Title 1 school?*

    1. No
    2. Yes

36. Scheduling Information

38. Number of classes in grade level*
    -- Select One --12345
40. Number of students in each class*
42. Acknowledgement of chaperone requirement*

    Please note: In order to safely conduct Water Treatment Plant Tour Field Trips, each classroom is required to provide a minimum of 6 and no more than 10 adult chaperones.

    1. By checking this box I acknowledge that my field trip could be cancelled should I not secure the 6-10 adult chaperones required.
44. Which month(s) would you prefer to schedule a field trip? Select three.*

    1. September
    2. October
    3. November
    4. December
    5. January
    6. February
    7. March
    8. April
    9. May

48. Accommodation Information

50. What student accommodations are needed?
52. Comments/Questions

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61. Email address

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