Interpretive
Outreach Programs Mail-In Registration Form, 2008 - 2009 school
year
Register here for composting and water education programs. Please
review the Registration Guidelines
before filling out this form.
Please print out this form, fill it out completely and mail to: City of Ventura, Community Services Department, Interpretive Outreach Programs, P.O. Box 99, Ventura, CA 93002-0099
Programs for the 2008 - 2009 school year are booked on a first come, first served basis. Registration dates: May 5 - May 16, 2008 (Early registration for Ventura/VUSD schools begins April 28, 2008)
Please Print|
Teacher Name____________________________________________________
Grade_____________________ |
|
 |
|
| School/Group Name__________________________________________________________________________ | |
|
|
|
|
School Address_____________________________________________________________________________ |
|
|
|
|
|
City____________________________________________________
Zip _______________________________ |
|
|
|
|
|
Day Ph._________________________________Rain/Emergencies Home Ph. ____________________________ email ____________________________ |
|
|
|
|
| School Fax ._____________________________________________________ | |
| Add. Contact Person_______________________________________Phone______________________________ | |
|
|
|
|
Prefer all correspondence sent to your home? Please give
address:
|
|
|
|
|
|
As you register, please consider the following:
Teacher in-service dates, school holidays, vacations and
testing dates. Please list any dates you cannot schedule
programs or attach school event calendar. |
|
|
|
|
| Student arrival time:___________________________________Student dismissal time: ____________________ | |
|
|
|
| Lunch Period From:___________________________________To:_____________________________________ | |
| |
|
|
You may need to adjust your recess times in order to accomodate classroom presentations. In compliance with the Americans with Disabilities Act, the City of Ventura will make reasonable accommodations to make programs and services accessible to all participants. Please call before your program if any of your students have special needs, including: language (%ESL), visual, hearing, learning or mobility; or contact (805) 677-3961 or 645-7788(TDD). |
|
|
|
| Programs
Requested (Register
here for composting and water education programs.) |
|
|
Field Trip: Circle number of field
trips desired: 1 2
3 4 5 |
|
| 1st Choice______________________________________________________________a.m. OR p.m. | |
|
|
|
Preferred Months ___________________, ___________________,
___________________ |
|
| 2nd Choice_____________________________________________________________ a.m. OR p.m. | |
|
|
|
Preferred Months ___________________, ___________________,
___________________ |
|
| 3rd
Choicea.m.
OR p.m. |
|
|
|
|
Preferred Months ___________________, ___________________,
___________________ |
|
|
|
| Slide Show : One Hour | ||||
| Program | |
Preferred Months | |
Times |
|
|
|
||
|
|
|
||
|
|
|
||
|
|
|
||
You'll receive registration notification of your program date(s) and time(s) within two weeks after the registration period. Your Program Acceptance form will be due within two weeks of that time. Your programs are not confirmed until we receive your Program Acceptance form. Please submit one registration form per teacher. Thank you!