Educator Trek Waiting List Request

Educator Trek Waiting List Request

Please complete this form to be added to the waiting list for full Educator Treks.

First Name*

Last Name*

School/Organization*

County*

Select

Grade/Age Taught*

We will be sending most information about this program via email. Please provide an email address that you check regularly.

Additionally, some email systems send our emails to your junk folder, and we don't want you to miss any details! Please consider providing a secondary email address to which we can send information.

In the event that we need to reach you on the day of the workshop or while traveling to the site, we ask that you provide your cell phone number as well.

Email Address*

Secondary Email

Cell Phone Number*

Dietary Restrictions*

Which of the following groups do you most identify with?*

Asian or Asian American

Black or African American

Hispanic or Latino

Native American or Alaskan Native

Native Hawaiian or Pacific Islander

White

Other

Prefer not to answer

If you identify with a group not listed, please add here.

Which pronouns do you prefer?*

She/Her

He/Him

They/Them

Other

Prefer not to answer

If you have other pronouns you prefer, please list them here.

For which Educator Trek(s) would you like to be added to the waiting list?*

Some treks on this list may not yet be full! Please check each trek's web listing for availability before adding your name to the waiting list!

Land of the Longleaf - Mar 21-23

Swamp Treehouse Adventure - Apr 4-6

Project RESTORE: Mad for Madtoms - Jul 9-10

Why do you want to participate in this workshop?*

Send me a copy of my responses

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