Learning Laguna Application Form

Teacher Information

*Teacher First Name

*Teacher Last Name

*Name of School

*School Address

*City

*State

*ZIP

*School Phone

*Teacher Phone

*Teacher Email

Class Information

*Class Grade Level

*How Many Students

*Room Number

*Start Time

*Morning Recess Start and End

*Lunch Break

*Afternoon Recess

Some Questions for You

*Do you have preferred or restricted dates, days of the week or times for Learning Laguna? Please list.

*For spring scheduling, please list dates for STAR testing and any scheduling restrictions.

*Has your class previously participated in Learning Laguna? What season and year?

*Has another class at your school participated in Learning Laguna?

*Have you read the general information on the website about Learning Laguna?

*What science/social studies, or field trips will take place with your class before or after Learning Laguna?

*How will your students be transported to the field trip?

*Are there any special needs students in your class? Please describe.

The Laguna Foundation offers a limited number of scholarships for bus transportation for very needy classes.

*Do you need a scholarship for bus transportation?

*Amount of scholarship requested.

*How did you learn about our program?

Our Cancellation Policy

Cancellation Policy: If you have to cancel your classroom's participation, we require notice at least TWO WEEKS prior to the classroom date.

*YES. I have read and agree to the cancellation policy outlined above.

You will be contacted by email with follow-up information.

*Signature

Laguna De Santa Rosa Foundation