Seacoast Science Center, Inc. Tax ID# 02-0526488

SSC Field Trip Inquiry Form

Please fill out the form below with the general details of your field trip. Please be advised that completing this form does not register you for your visit. The registrar will contact you to review your information and book your program.

School/Group Name *

School/Group Address

School/Group City

School/Group State *

School Zip Code *

Contact First Name *

Contact Last Name *

Phone #

Alternative Phone #

Email *

Number of participants *

Number of adults *

Number of buses *

Grade(s) *

Please check the program topic(s) that interest you *

Rocky Shore Exploration: 1hr program
Rocky Shore Exploration: 90 min program
Rocky Shore Investigation: 2hr program
Coastal Birding: 90 min program
Salt Marsh Exploration: 2hr program
School of Hard Rocks: 1hr program
SSC Marine Mammal Rescue: 1hr program
Sharks Alive! - 1hr program
A Whale of a Program: 1hr program
Explorer Group - (SSC & Park)
Explorer Group - (Park ONLY)
Outreach-Coastal Critters
Outreach-North American Lobster
Outreach-Turtle Time
Outreach-Inflatable Whale
Outreach-Marine Debris Detectives
Outreach-Marine Debris Summit
Outreach-Marine Mammal Rescue
Outreach-A Warming Gulf of Maine

Program that MOST interests you *

Date(s) interested in having your program? *

Arrival Time *

Departure Time *

Does anyone in your group have any disabilities or specific needs that we should be aware of to ensure an inclusive and supportive experience? *

If yes, please share more information to help us make your visit welcoming and accommodating:

How did you hear about this program?

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SSC Field Trip Inquiry Form