Let Irvine Nature Center bring the nature to YOU!

CAMP or ORGANIZATION*
NAME OF CAMP OR PROGRAM
CAMP ADDRESS*
CAMP ADDRESS
CAMP LOCATION*
- Baltimore City
- Baltimore County
- Carroll County
- Harford County
- Howard County
- Other
CONTACT NAME*
CONTACT NAME - First and Last
CONTACT EMAIL*
CONTACT EMAIL
CONTACT PHONE*
CONTACT PHONE
CAMPER AGES*
- 5-8
- 8-12
- Other
Total # of Students (max 50)
Total # of Students (max 40)
Number of Students with IEP or 504*
How many students have an IEP or a 504 plan?
NATURE AT CAMP THEME*
NATURE AT CAMPTHEME: Select One
Start TIme
REQUESTED START TIME, IF DIFFERENT THAN 10AM. (Earliest start is 9:30AM)
1st Choice Date*
1st Choice Date (greyed out dates not available) PLEASE NOTE: This is not a guarantee. Your field trip request will be reviewed and confirmed via email by our Education Program Coordinator.
MM slash DD slash YYYY
Alternate Dates*
Please list TWO additional backup dates.
Special Needs/Accommodations
Special Needs/Accommodations