Eco-Kit Reservation Request

Please fill out the form below. A confirmation email will be sent to you noting the time and date of your reservation based on your choices below and current availability. Keep in mind your reservation will not be confirmed until you get a confirmation email. For more information contact us at 940-767-0843 or email info@riverbendnaturecenter.org.
Select Eco-Kit Below*
Organization or School Name*
Organization Phone*
Organization Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Classroom Number*
Write N/A if the Eco-Kit is not taking place in your classroom.
Floor #*
Additional Notes- Describe how to get to your classroom, or wherever you wish the Eco-Kit to take place.*
Contact Name*
First Last
Contact Phone*
Contact Email*
Age Range of Students*
Grade Level of Students*
Number of Students*
Number of Adults*
Please select your first, second, and third choice for your field trip. Dates and times will be filled on a first come first served basis.
First Choice*
MM slash DD slash YYYY
Time*
Earliest program time available is 9:30 am.

: Hours

Minutes

AM/PM
Second Choice*
MM slash DD slash YYYY
Time*
Earliest program time available is 9:30 am.

: Hours

Minutes

AM/PM
Third Choice*
MM slash DD slash YYYY
Time*
Earliest program time available is 9:30 am.

: Hours

Minutes

AM/PM
The fee is $100.00 per classroom presentation within a 25-mile radius of Wichita Falls. Travel costs will be charged for presentations outside this radius. Payment is due at time of the presentation unless other pre-approved arrangements have been made.
Each presentation is approximately 1 (one) hour in length.
Each presentation will need a desk or table area and floor space.
The RBNC instructor & aide will arrive with materials 15-30 minutes prior to the requested time to prepare for the presentation.
These programs are designed for 22 or fewer students per presentation. Please do not exceed these audience numbers.
Teachers must remain in the room during the presentation.
CORONAVIRUS / COVID-19 WARNING & DISCLAIMER Coronavirus, COVID-19 is an extremely contagious virus that spreads easily through person-to-person contact. Federal and state authorities recommend social distancing as a means to prevent the spread of the virus. COVID-19 can lead to severe illness, personal injury, permanent disability, and death. Participating in River Bend Nature Center Educational Programs or accessing River Bend Nature Center facilities could increase the risk of contracting COVID-19. River Bend Nature Center in no way warrants that COVID-19 infection will not occur through participation River Bend Nature Center Educational Programs or accessing River Bend Nature Center facilities.
We are looking forward to our visit with you. Please communicate the above information to any other teachers/leaders involved in this program.
Please communicate the above information to any other teachers or chaperones that will be accompanying your group.
If you have any questions, please call Leslie Fernandes 767-0843. By signing below you agree to follow the above procedures.
Name
First Last
Date
MM slash DD slash YYYY
Signature