Registration Form - Foundation for Ohio River Education | Foundation for Ohio River Education

Please contact us with any questions. Thank you!

Instagram
This field is for validation purposes and should be left unchanged.
Name of School*
Grade(s) / Type of Class*
Floating Classroom Type*
- Riverboat (Grades 4-12 and College)
- Canoe (High school and College only)
School Address*
Street Address Address Line 2 City State ZIP Code
County*
School Phone*
School Fax
Contact Person*
Prefix First Last
Position*
Email*
Enter Email Confirm Email
Cell Phone Number (not required, but helpful in the event of a last-minute weather delay or cancellation)
Number of Participants (limit 50 students/day grades 4-8; limit 40 students/day grades 9-12)*
Please enter a number from 1 to 50.
Number of Chaperones (3 adults required)*
Please enter a number greater than or equal to 3.
Are there any students with special needs/accessibility barriers who will be coming on the trip?*
- No
- Yes
If yes, please explain so we can best accommodate your students.
What are your preferred dates?*
Preferred Date Alternate Date #1 Alternate Date #2
Percentage of students in school participating in the Free and Reduced Lunch Program (this number is required to qualify for program discounts)*
What time does your class typically eat lunch*

: Hours

Minutes

AM/PM
What is the earliest that your class is able to arrive?*

: Hours

Minutes

AM/PM
What is the latest that your class has to leave by?*

: Hours

Minutes

AM/PM
Message / Comments (Optional)