Tahoe Environmental Research Center Field Trip Request Form

Thank you for your interest in scheduling a field trip with the UC Davis Tahoe Environmental Research Center. Please complete this form to schedule a field trip. Fields marked with a red asterisk (*) are required.

Teacher Name(s) *

School Name *

Teacher's phone number *

Teacher's email address *

Grade level of students attending the field trip *

Which education center are you interested in visiting?
(All field trip options are available at the Tahoe Science Center in Incline Village. *Please note that not all of the field trip options are available at our Tahoe City facility as this location is used primarily for outdoor programs due to research equipment inside the building.) *

Tahoe Science Center (Incline Village): 60 students maximum

Eriksson Education Center (Tahoe City): 30 student maximum for modified tours/programs; only open seasonally May through September

How many students will be attending this field trip?
(Please plan 1 chaperone per 15 students). *

Please indicate your anticipated time of arrival.
(Field trips are approximately 3 to 4 hours in duration occurring between the hours of 8 am - 2 pm with a 20-40 minute lunch break.) *

Please indicate your anticipated time of departure.
(Field trips are approximately 3 to 4 hours in duration occurring between the hours of 8 am - 2 pm with a 20-40 minute lunch break.) *

What time do your students usually take their lunch break?
(We will try to schedule field trip lunch around the same time.)

Please choose ONE thematic program. Activities that may be included with that program are listed.
(We have designed thematic science programs to meet grade-level specific curriculum criteria. Generally, all programs include customized presentations of the virtual boat and lab exhibits and the “Lake Tahoe in Depth” 3D movie. For details visit https://tahoe.ucdavis.edu/field-trips. *

Please rate the top dates (1, 2, 3) you would prefer to schedule your field trip.
(If you have a special request or have already reserved dates that are no longer listed, please indicate this in the Additional Comments and Notes section below.)

	February 20
	February 25
	April 14
	April 16
	April 21
	May 5
	May 12
	May 14
	May 21
	May 26
	May 28
	June 9
	June 11

Have these students participated in our field trips or events before?
(We can modify our tours and programs accordingly if we know in advance. If yes, please describe in the Additional Comments and Notes section below.)

No

Yes

Do any of your students have special needs?
If so, please describe.

How will you be paying the $5.00 per student donation? *

Cash

Check (Please make checks payable to UC Regents)

Receipt needed?
(If you are bringing a check, please indicate the total amount of the check for your receipt.)

No, I will not need a receipt.

Yes, I will need a receipt and the total amount of the check is: Yes, I will need a receipt and the total amount of the check is:

Additional Comments and Notes: *