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TIDELINE DISCOVERY PROGRAM SCHEDULE APPLICATION
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For specific information about Clearwater's Tideline
Discovery Program and fees, please refer to:
http://www.clearwater.org/discovery.html
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This application is for (Fall 2005 or Spring 2006):

Organization/Group:

Organization Address:

Organization Phone:

Organization Fax:

Contact Person & Title:

Contact Person Address:

Telephone (day):

Telephone (eve):

Email (school):

Email (home):


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Please answer the following questions so that we may serve
you better in our educational programs. Thank you!
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1. Has Clearwater worked with you or your organization
before?


2. What is the grade level/age of your participants?


3. Briefly describe the curriculum or project (if any) you
would like your Discovery Program to support:




4. How many students will be involved in the program?


5. How many field trips are desired?
(typically 25-50 students per field trip):


6. What are the names of all the participating teachers (if
you are the contact for more than one class)?




7. Please enter your elective station here (all programs
include Seine Net Fish Retrieval, Plankton, Fish, and Beach
stations - please select 1 DIFFERENT elective from elective
learning station list).

Elective:


8. Does your group have any special needs that should be
addressed?




9. Are there any special teaching or activity requests you
might have (i.e. a station we may have done in the past
that you'd like, but don't see on our elective list/ use of
a teaching device we may have used in the past that you'd
like our educators to use with all of your students, etc.)?




10. The Discovery Program must be scheduled in accordance
with Hudson River tides. Please consult your school calendar
and give as many possible dates for all-day field trips
(typically 9:30am to 2pm)

Preferred dates/days:



Impossible dates/days:




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Please get your application in as soon as possible!
Thanks!
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Please copy this application, paste it into an email
program, complete the application and email to:
eli@clearwater.org

Or

Print the application, complete it, and mail to:
Tideline Discovery Program
Hudson River Sloop Clearwater
112 Little Market Street
Poughkeepsie, NY 12601

For more information, contact:  845-454-7673 x106