5th Grade Spring 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.	Total number of non-staff chaperones coming with your classroom(s) * PLEASE LIMIT TO ONE PER GROUP

7.	Total number of students visiting on this date:*

8.	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

9.	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.)*
	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.)* YesNo

11.	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 If there are too many students to list, please write "Do not publish photos of students"* If you did NOT register for a Nature Photography class, please write "N/A"

12.	What time does your class eat lunch at school?*

13.	Lift bus request?*
	Lift bus request?* Yes No

14.	Number of students from your grade needing mobility assistance? (We can provide sled, joggers, etc.)*

Done