Summer Adventures Request Form
These programs are designed for organized groups such as camps and day cares to participate in self-guided exploration experiences at Chippewa Nature Center. Please complete a form to request these programs.
Please complete one form for each visit.
*Contact name:
This is the person with whom we will communicate.
*Contact email:
*Contact phone:
*Organization Name
*Street Address
*City
*State
*Zip Code
Student Information
*How many students do you expect to attend?
Self-guided programs are designed for a maximum of 30 students at a time. If your group is larger, you can do two self-guided options at a time, or stagger the start times by 30 minutes.
What grade level(s) are the students?
Please check all boxes that apply.










Program Choices
*Program 1:
Program 2:
If you would like to attend a second program on the same day, please indicate that here.

Which month would you like to attend?
If you are flexible (you could do March or April), please check all applicable boxes.


Which days of the week would work best for your group?
Please check all applicable boxes.






*What are your preferred dates?
Please list the dates that would work best for your schedule.
*What is your preferred start time for the program?
Lunch
*Would your group like to have lunch at the Nature Center?
There is a $10 lunchroom fee.
Notes
Please provide any additional information that will help us to best accommodate your request.