Form : Great Lakes Aquarium

Name:*

First Last

Email:*

Phone*

Best Time to Reach You:

:

School or Group:*

Formal School
Homeschool
Other group (family, business, club, etc.)

Group/School Name:*

Grade Level of Students/Participants:*

Number of Students/Participants*

Please count the number of individuals participating in the program (not the number of devices joining the video call).

1 - 30
31 - 50
51 - 100

Students will be joining this program...

Individually from personal devices
Together as an in-person classroom

Upload: Homeschool Letter of Intent*

Accepted file types: jpg, png, pdf, Max. file size: 256 MB.

Please provide a copy of the Compulsory Instruction Report or Letter of Intent (which you would have previously filed with the state) to receive the discounted educator rate. (PDF, PNG, and JPEG files accepted)

Please select the type of virtual field trip you are interested in:*

Animal Encounter
Lake Ecology
Fantastic Frogs

First Choice Animal Encounter*

Alligator
Skunk
Snake
Turtle

Alternate Choice Animal Encounter*

Alligator
Skunk
Snake
Turtle

All animal encounters are subject to the animal's free will choice to participate. Please choose a backup animal encounter in case your first choice chooses not to participate on the day of your program.

Date of Virtual Field Trip*

First Choice:	Second Choice:

Virtual field trip programs are offered Monday - Friday.

Time of Virtual Field Trip:*

First Choice:	Second Choice:

Preferred Video Call Platform

Zoom
Google Meet*

*Please select this option if your participants would benefit from live auto-captions.

What goals or objectives do you have for your visit?

An extension of our classroom unit on...(please list topics below)
Specific skill development (ie. writing, drawing, matching, math, etc.)
A reward/novel experience
A field study - observation/data collection
A part of a service learning project
Other - Please explain below

Additional explanation of goals or objectives:

Are there any special considerations or accommodations that would benefit your group (i.e. live captioning)?

Please use the space below to share any other important information about your group.

How did you hear about Great Lakes Aquarium's virtual learning programs?*

Cancellation & Refund Policy*

If for any reason your group cannot attend your virtual program as scheduled, you may choose to reschedule (dependent on Aquarium availability and capacity) or request a refund.

For cancellations more than two weeks before the scheduled program date, the fee can be refunded in full; if less than two weeks remain before the scheduled program date, 50% of the fee can be refunded.

If for any reason the Aquarium is unable to provide your program at the scheduled date and time, a full refund will be issued.

I have read and understand the cancellation policy.

Estimated Total

No payment is required at this time.

$0.00

Now Open – H2O: Watersheds at Work!

Virtual Field Trip Reservation Request Form