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Chattanooga Audubon Society
School Field Trip Request Form
First Name
Last Name
Email
Phone
Schools Name
Grade Level
Number of Students
First Choice Program date
Second choice program date
Third choice program date
Start time
9:30am
10:00am
School Programs
Beak Feet Feathers
As the Indians Left It
Logs Life
Bugs Life
Fun in the Water
River Adaptations
Very Birdy Day
My Scenes
Blevins egg collection
Custom
If you chose custom please describe the custom program you are wanting
Program Add-ons Please note that Add-ons are an additional $4.00-$7 per student depending on the add-on
Bird Call
Eagle Talon
Bug Jar
Logs Life Booklet
Bird Feeder $5.50
Leaf & Flower Press
Owl Pellet Dissection $7
Firefly activity
Bird House Kit
Bug House Kit $6.50
Any Additional comments or Questions
