Group/School _____________________________________________________________________________________
Address ________________________________________________City ________________________ Zip___________ Leader/Teacher Contact Name _______________________________ Phone Number ___________________________________________ Best time to contact you ____________________ Email address ___________________________________________ Student Grade(s) _________________________Approx. # of students’ ___________________(Limit of 2 classes per day) Approx. # of chaperones _____________________________(1 adult per 5 students) Mode of transportation: Please fill out Transportation Reimbursement form if transportation funds needed Bus_________ or Private Vehicles____________ Wheelchair or other access requirements: Yes___ No ___ Please describe ___________________________________ ESL Needs: Yes___ No___ Please describe ____________________________________________________________
Arrival / Departure Time ________________________________________
Julie Woodward, Program Director If you have questions call: 503-584-7259 or email: woodward@ofri.com. |
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