School Program Request Form

To request a Reinstein Woods program for your class or classes, please fill out this form. Requested dates and times are not confirmed until you hear from a DEC staff person. We encourage you to submit this form at least two weeks before your desired date.

School Tour Request Form

First Name *

Last Name *

E-mail Address *

Work Phone *

Cell Phone *

Preferred contact # (check box) *

Work #

Cell #

Best time of day to reach by phone *

School Name *

School Address *

City/town *

Zip Code *

County *

School District *

Grade level *

Do any students have special needs? If yes, please describe the function level and needs. *

YesYes

No

# of classes *

Total # of students *

Virtual Programs (please select a program) ANIMAL INVESTIGATIONS (Grades PreK – 2)CLIMATE CHANGE IN THE GREAT LAKES (Grades 6 – 12)FANTASTIC FROGS (Grades PreK – 3)MEET YOUR NEIGHBORS: HABITATS OF WESTERN NEW YORK (Grades K – 5)SCHOOLYARD HABITATS (Grades 2 – 5)WORLD OF THE POND (Grades 3 – 8)Other Virtual Programs (please select a program)

In-school program (please select a program) Animal Tracks (grades PreK-3) CSI: Critter Sign Investigation (grades 4-8) Fantastic Frogs (grades PreK-3) Nature’s Recyclers (grades PreK-8) Skull Science (grades 4-8) Trash Talk (grades K-8) Watershed Works (grades PreK-8) Other In-school program (please select a program)

Guided outdoor lesson (please select a program) Exploring the Outdoors (grades PreK-1) Animal Investigations (grades 2-8)World of the Pond (grades 3-8) Forest Ecosystems (grades 6-12)Winter Challenges (grades 2-12)Other Guided outdoor lesson (please select a program)

Requested date(s) *Note: date is not guaranteed until confirmed with DEC staff. *

Requested start time *

Additional Notes

If you are human, leave this field blank.

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