Brightwater Program Waitlist

Contact Information

First Name

Last Name

Title (eg. Teacher, Parent, Administrator)

Daytime Phone Number

Day-of-Trip Phone Number

E-Mail Address

Please include the names and email addresses for all other teachers who will be attending on this date. This information will allow us to make sure students and teachers are prepared for their field experience.

School and Participant Information

School Name

School District

If no district, please enter "independent"

Number of Students (Maximum: 60)

If you have more than 60 students, you MUST submit a separate request for each additional day you would need. WE WILL NOT CONSIDER REQUESTS FOR MORE THAN 60 STUDENTS OR SINGLE REQUESTS FOR MORE THAN ONE DAY.

Number of Adults

At least one adult chaperone is required for every 15 students; 12 adults maximum.

Program Requested

Program:

Transportation to Brightwater

Through King County’s Wheels to Water Program, limited funding is available to provide free buses or cover district-provided transportation costs for schools that have a Free and Reduced Lunch percentage of 35% or higher (per the latest OSPI data). Look up your school’s low-income percent here to see if you qualify. There will be an option to request Wheels to Water buses, or reimbursement for district transportation costs, upon registration. If your school does not qualify for transportation assistance, we ask that you arrange your own bus transportation.

Wheels to Water Bus

Yes, we would like to arrange a Wheels to Water BusYour confirmation email will include instructions on how to formally request a bus.

Comments

Additional Comments

e.g. What is your class studying? Do you have any students with special needs?