City of Roseville

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*Name: 

*School: 

*City:  State: 

*Email: 

*Phone: 

*Grade: FourthSelect...Second

*Number of Students (35 max, 1 class): 

 

We will need a 60 minute block of time for the 2nd grade program, and a 75 minute block of time for the 4th grade program. 

 

*1^st preferred date/time: 

2^nd preferred date/time: 

3^rd preferred date/time: 

 

FREE Classroom Visits for Schools Located within Roseville City Limits Only

I am interested in free “Down the Drain” Package program add-on, including wastewater-themed children’s books and activity sheets. UEC educator will bring package on the day of your visit for use in-class or at home at your convenience.(Second Grade Teachers ONLY!)

 

Next Steps:

1. Print off a copy of your completed reservation form and click the submit button.
2. You will be notified by email within five working days to confirm your reservation. If you do not receive confirmation, please contact us at 916.746.1550.
3. You will receive a reminder email two weeks prior to your field trip date.

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