Fledglings' Field Trip Form

The Center for Wildlife Education &
The Lamar Q Ball, Jr.

Georgia Southern University
P.O. Box 8058, Statesboro, GA 30460
Phone: (912) 478-0831; Fax: (912) 478-1779
E-mail: jchester@georgiasouthern.edu
Web site: http://welcome.georgiasouthern.edu/wildlife

For Pre-K students only
$2.50 per person (including students, chaperones & teachers)
All reservations must be made at least one week in advance.

School/Group:
Address:
City:
State:
Zip Code:
Telephone:
Fax:
Grade or Age:		*Pre-K only*
Number of Students:
Name of Lead Teacher:
E-mail:
Number of Teachers:
Number of Chaperones:
Total Amount Due:		$2.50 x ____(number in group) =
		Payment is due in the Gift Shop upon your arrival at the Wildlife Center

IMPORTANT: Please complete the following information in full
Field Trip Time:		10 a.m.
		10:30 a.m.

Preferred Dates: Mondays only for Fledgling Groups		First Choice: Second Choice: Third Choice:

Lunch at Ecology Pavilion: (Check if you plan to have lunch at the Pavilion after your field trip)		Yes No Note: Having lunch at the Pavilion will extend your field trip by 30 minutes.

Gift Bags: (Check if you would like the Center to prepare gift bags for your students)		Yes No Note: Gift bags require advance notice. If you checked yes, please contact Janice Chester, Center secretary, for additional information and a gift bag order form.

We understand that you many encounter complications beyond your control which would cause you to arrive later than scheduled. Please also understand that we may need to eliminate a rotation from your field trip due to those circumstances. Please call the Wildlife Center (912) 478-0831 with any questions regarding your field trip.