Virtual field trips are subject to availability. If possible, please submit requests at least 4 weeks in advance. Hillwood staff will be in touch to confirm details. 
Please note that Hillwood uses Zoom as our virtual field trip platform. Hillwood will email you the Zoom link after your virtual field trip is confirmed. If you would like to request a different platform, and/or provide the program link yourself, please let us know in the comment box at the end of this form. Thank you!

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* 1. Name

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* 2. Email Address

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* 3. Phone Number (Day-of-Contact)

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* 4. School Name

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* 5. City/Town

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* 6. State

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* 7. Does you school receive Title 1 funding?

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* 8. Student Grade Level

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* 9. Number of students:

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* 10. Number of teachers:

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* 11. Number of classrooms participating:

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* 12. Please list preferred dates and times.

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* 13. Preferred Program

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* 14. Please share any additional questions or comments.

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