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Program Request Form
Thank you for your interest!
Please fill out the following form and we will respond as soon as possible.
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Name
*
School/Organization Name
*
Location (Street Address, City)
*
County
*
Phone
*
Email
*
Grade/Age Range
*
Type of Oranization
*
Non-Profit
For Profit
Are you a Title 1 School?
*
Yes
No
Program Fee / Donation
*
Check here for Anne Arundel County Public School or Maryland Title 1 School
Check here to agree to the program fee for non Anne Arundel County Public Schools or Maryland Title 1 Schools (fee is negotiable)
Program(s) Interested In
*
Bay Field Games
Bay Story Time
Blue Crab 101
Curious Crab
Maryland Critters - Who Lives Where?
Nature Journaling
Oyster 101
Plastic Pollution Solution
The Chesapeake Bay & Climate Change
Who Polluted the Chesapeake?
Wonderful Watershed
Desired Date
*
(provide three options in order of preference)
Additional Information
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Who We Are
About Us
Contributors
Outreach & Education
CSH2O Programs
Partnerships
Scholarships
Partner in Education Award
Shark Events
Shark Bites
Donate
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