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    DHF 2017-18 Registration Form

    Uploaded by

    Ruth Eller
    This document is a registration form for school field trips to the Deer Hollow Farm in Mountain View, California. It requests information such as the school name, address, and priority based on location. It also asks for teacher contact information if submitting multiple classes. The form provides a table to choose a grade-appropriate class between kindergarten and 4th grade, along with class length and topics. Additional sections let the registrant select arrival times and preferred dates between options given in a school year calendar. Information is also provided about scholarship funds available through Friends of Deer Hollow Farm for schools meeting a minimum federal lunch program eligibility rate.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    DHF 2017-18 Registration Form

    Uploaded by

    Ruth Eller
    25 views2 pages
    This document is a registration form for school field trips to the Deer Hollow Farm in Mountain View, California. It requests information such as the school name, address, and priority based on location. It also asks for teacher contact information if submitting multiple classes. The form provides a table to choose a grade-appropriate class between kindergarten and 4th grade, along with class length and topics. Additional sections let the registrant select arrival times and preferred dates between options given in a school year calendar. Information is also provided about scholarship funds available through Friends of Deer Hollow Farm for schools meeting a minimum federal lunch program eligibility rate.

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    This document is a registration form for school field trips to the Deer Hollow Farm in Mountain View, California. It requests information such as the school name, address, and priority based on location. It also asks for teacher contact information if submitting multiple classes. The form provides a table to choose a grade-appropriate class between kindergarten and 4th grade, along with class length and topics. Additional sections let the registrant select arrival times and preferred dates between options given in a school year calendar. Information is also provided about scholarship funds available through Friends of Deer Hollow Farm for schools meeting a minimum federal lunch program eligibility rate.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    25 views2 pages

    DHF 2017-18 Registration Form

    Uploaded by

    Ruth Eller
    This document is a registration form for school field trips to the Deer Hollow Farm in Mountain View, California. It requests information such as the school name, address, and priority based on location. It also asks for teacher contact information if submitting multiple classes. The form provides a table to choose a grade-appropriate class between kindergarten and 4th grade, along with class length and topics. Additional sections let the registrant select arrival times and preferred dates between options given in a school year calendar. Information is also provided about scholarship funds available through Friends of Deer Hollow Farm for schools meeting a minimum federal lunch program eligibility rate.

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    © All Rights Reserved
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    Mountain View Senior Center/ Recreation Division Community Services Department

    266 Escuela Avenue Mountain View, CA 94040 650-903-6430 FAX 650-965-4559

    2017-18 SCHOOL YEAR REGISTRATION FORM


    THIS FORM MUST BE RETURNED BY THURSDAY, SEPTEMBER 7, 2017 AT 5:00PM
    School Name School District School Phone
    __________________ ________________ ________________
    School Address City State Zip
    _______________________ _____________ _____ ________
    School Priority (Please see below then CIRCLE your Priority): 1 2 3 4
    Priority 1: Schools in Mountain View
    Priority 2: Schools in Los Altos, Los Altos Hills, Los Gatos, Monte Sereno, Saratoga, Palo Alto, Cupertino, Sunnyvale and
    incorporated areas within the Midpeninsula Regional Open Space District (MROSD) and Santa Clara County (County)
    Priority 3: Schools in Gilroy, Morgan Hill, Menlo Park, Portola Valley, Atherton, Campbell, East Palo Alto, Milpitas,
    Redwood City, San Carlos, Santa Clara, San Jose, Woodside and incorporated areas with the MROSD and the County
    Priority 4: All other schools
    Please list each classroom separately, include teacher contact info and number of
    students per class. A maximum of 70 students are accepted per trip.
    Teacher First Name Last Name Phone
    ___________________ ____________________ ___________________
    Email Number of Students (maximum of 35 kids per class)
    _____________________________ _________
    Teacher First Name Last Name Phone
    ___________________ ____________________ ___________________
    Email Number of Students (maximum of 35 kids per class)
    _____________________________ _________
    Teacher First Name Last Name Phone
    ___________________ ____________________ ___________________
    Email Number of Students (maximum of 35 kids per class)
    _____________________________ _________

    ----- OVER-----
    Please refer to this table when completing the following questions.
    Class Grade Length in Hours
    Farm & Garden Kindergarten 2
    Fleece & Milk First 2.5
    Life Sciences Hike Second, Third, Fourth 3
    Ohlone Habitat Third 3
    Ohlone Village Fourth 3
    Grade Level: K 1 2 3 4
    DHF Class (select one):
    Farm and Garden Fleece and Milk Life Sciences Hike
    Ohlone Habitat Ohlone Village
    Arrival time (select one):
    9:15 AM 10:00 11:30
    9:30 10:45 11:45
    9:45 11:00 12:00 PM
    Based on the Deer Hollow Farm School Year Calendar, choose your top 15
    preferred class dates:
    1
    2
    3
    4
    5
    6
    7
    8
    9
    10
    11
    12
    13
    14
    15

    FRIENDS OF DEER HOLLOW FARM CLASS AND BUSING SCHOLARSHIPS


    Scholarship funds are available for schools with a minimum of 20% of the students
    participating in the Federal Lunch Program. For more information, please see the Friends
    of Deer Hollow Farm web site at www.deerhollowfarmfriends.org or contact them at
    info@deerhollowfarmfriends.org. They can also be contacted by mail at P.O. Box 4282,
    Mountain View, CA 94040.
    _________
    By initialing above, I attest that, to the best of my knowledge, the school or class has
    at least 20% of its students eligable to participate in the Federal Lunch program.

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