5th Grade Winter Registration Form
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1.
Assigned field trip date: (One date ONLY. Fill out a separate form for each assigned date.)
*
2.
School name:
*
If you are coming with other classes from your grade level on the same day please register all classes together on one form
3.
Grade level:
*
4.
All teachers names coming this date:
*
5.
Total number of staff visiting from your school (including paras):
*
6.
Number of chaperones (please limit to no more than 5 non SPPS staff - bring as many staff as needed!).
7.
Total number of students visiting on this date:
*
8.
Our 5th grade curricula works best if students do not repeat the same classes each year. Many SPPS students have taken these classes as 4th graders. Please register your students in Belwin classes that are new to them. (Check "yes" below to indicate this has been attempted.)
*
--Please Select--
Yes
No
9.
Please select the number of groups:
12-22 students = 2 groups
23-34 students = 3 groups
35-46 students = 4 groups
47 or more students = 5 groups
*
We will do our best to accommodate your group requests, but may need to make adjustments depending on conditions of the day
--Please Select--
One
Two
Three
Four
Five
10.
Please select your classes (Your number of classes must = the number of groups - see #9 above)
*
Select at least 0 and no more than 0.
Orienteering
Orienteering
Nature Photography
Adaptations of Animals
Animal Investigations
Winter Survival
Radio Tracking
Winter Birding
Cross Country Skiing
(CHOOSE 'NO SNOW ALTERNATE CLASS' below. One alternate class per ski class. Alternates must not already be selected. (eg. If there is no snow, there cannot be 3 Orienteering or 2 Radio Tracking classes)
Cross Country Skiing
(CHOOSE 'NO SNOW ALTERNATE CLASS' below. One alternate class per ski class. Alternates must not already be selected. (eg. If there is no snow, there cannot be 3 Orienteering or 2 Radio Tracking classes)
11.
NO SNOW ALTERNATE(S) If Cross Country Skiing is not possible what would be other choices (please select two alternates if you choose two ski groups)
12.
Nature Photography classes: Please list all students that DO NOT have media release forms on file. If there are too many students to list, please write "Do not publish photos of students"
*
If you did NOT register for a Nature Photography class, please write "N/A"
