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Cheekwood GROWS Application

Please note that this program is designed for an entire third grade at Title 1 schools. Participating schools must agree to participate in each component of the program. We will use this application to determine if the program is a good fit for your school.

School Information
School Name*
School Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
School County*
School District*
School Staff Information
Main School Staff Name*
This person will be our main point of contact throughout the program
First Last
Main School Staff Title/Position at School*
Main School Staff Email Address*
Main School Staff Phone Number*
Secondary Staff’s Name
Secondary Staff’s Title/Position at School
Secondary Staff’s Email Address
Group Size for Field Trip to Cheekwood Information
Number of students in the third grade*
Number of Teachers and/or School Staff Attending Field Trip*
Number of Chaperones Attending the Field Trip*
Please note that there is no cost for chaperones to attend, however, we do need numbers for tracking purposes.
Select Preferred Field Trip Date and Time
First Choice*
MM slash DD slash YYYY
Second Choice*
MM slash DD slash YYYY
Third Choice*
MM slash DD slash YYYY
Arrival Time*

: Hours

Minutes

AM/PM
Departure Time*

: Hours

Minutes

AM/PM
Field Trip Logistics
How will your group be arriving to Cheekwood?*
- Bus
- Vans
- Cars
Will your group be picnicking at Cheekwood?*
- Yes
- No
Please check all that apply to your students so we may best accommodate your group. One or some of my students have:
- Wheelchairs
- Crutches
- Intellectual disabilities
- Behavior problems
- Other
Other, Please Specify:
Please share any additional information that could be helpful in us accommodating your students with the needs listed above:
Weather Policy*
Field trips are weather permitting. This includes rain, snow, and extreme temperatures. Education staff will be in touch with scheduled schools at least 24 hours before a scheduled trip if a change is necessary. Field Trips will be rescheduled as space permits.
I have read and agree to the weather policy stated above.

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1200 Forrest Park Drive
Nashville, TN 37205

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