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2. Thank you for your interest in CCPRC programs. Please note that this form does not reserve a date on the program calendar. Our Interpretive Education staff will contact you to finalize your request.
4. Group Name*
6. Contact Name*
7. Email Address*
9. Address*
11. City*
12. State*
13. Zip*
15. Phone
16. Fax
20. What grade level(s) will be attending the program?
22. How many students will be visiting?
24. When would you like to come to the park?
26. Would you like to apply to receive a free standards-based field trip for up to 100 students?

    1. Yes
    2. No
28. Are you a teacher at a Charleston County Public School?

    1. Yes
    2. No
30. Does your school receive Title I support?

    1. Yes
    2. No
32. How will receiving a free field trip benefit your students?
34. Do you agree to the following statement?

    Free field trips are awarded on a first-come, first-served basis. If you receive a free field trip you are responsible for scheduling the trip with the Education Coordinator at least a month prior to your desired date. If you find that your school is unable to attend the field trip, it is your responsibility to contact the Education Coordinator and cancel your reservation at least two weeks prior to the scheduled date. 

    1. Yes, I agree
    2. No, I do not agree.
38. Which parks are you interested in visiting?

    1. Caw Caw Interpretive Center
    2. James Island County Park
    3. McLeod Plantation Historic Site
    4. Palmetto Islands County Park
    5. Wannamaker County Park
    6. A beach park
40. Which Caw Caw Interpretive Center programs interest you?

    1. Habitat Chat
    2. Plants for Primary Grades
    3. Birds

    1. Native Americans of Coastal South Carolina
    2. Carolina Indigo
42. Which James Island County Park programs interest you?

    1. Pond Poking
    2. Salt Marsh Ecology
    3. Plants for Primary Grades
    4. Birds
    5. Native Americans of Coastal South Carolina
44. Which Palmetto Islands County Park programs interest you?

    1. Pond Poking
    2. Salt Marsh Ecology
    3. Plants for Primary Grades
    4. Birds
    5. Native Americans of Coastal South Carolina
46. Which Wannamaker County Park programs interest you?

    1. Plants for Primary Grades
    2. Birds
    3. Native Americans of Coastal South Carolina
48. Which beach park programs interest you?

    1. Secrets in the Sand
    2. Seining the Sea
    3. Barrier Island Ecology
    4. You, Me, & Marine Debris
50. The portable planetarium is able to be brought to your school. Are you interested in this?

    1. Yes
    2. No
52. Please include any additional information.
54. Before submitting this form, please be sure that your contact information is correct. Thank you for your interest in CCPRC programs. Please note: filling out this form does not reserve a date on the program calendar. Interpretive staff will contact you to finalize your request.
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55. 1. Receive an email copy of this form.
56. Email address

    This field is not part of the form submission.

57. Submit

* indicates a required field