Summer Explorations 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
Please note: We require a minimum of 1 adult for every 10 youth for visiting groups. For safety reasons, visiting groups may not join other programs happening at CNC (camp, story hour, etc.) unless arrangements have been made ahead of time.
*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
Which activities would you like to schedule?
Each "Exploration" will provide tools for exploring the area (example: bug boxes, nets, dippers, scavenger hunts), a simple craft/art project, picture book related to the area, and a hands-on activity. An outline will be sent to the contact person ahead of the visit.






Which month would you like to attend?
If you are flexible, 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 planned arrival time?
*What is your planned departure time?
Lunch
Indoor lunch space may be reserved for $10 for groups up to 60 students for up to 45 minutes. Groups over 60 will be charged $20. Non-reservable outdoor pavilions are available on a first-come first-serve basis and may not displace programs let by CNC staff members.
Would you like to reserve an indoor room for lunch for your group?

What time would you like the room reserved for lunch?
Lunch rooms can be reserved for up to 45 minutes. Reservations subject to room availability.
Notes
Please provide any additional information that will help us to best accommodate your request.