Meadowlands Environment Center Registration

Program Registrations

There are three sections to this registration. Complete the information below and click the "Continue" button to begin the registration process.

Registration Part I

A total of 4 classes with a maximum of 27 students per class.

 

Date:

9-14-2017

 

Grade Range:

Marsh Access:

Please select the "Marsh Access" checkbox if you have students with disabilities
(inclusion, mainstreamed, or self-contained).

When we ask to be informed about any student you have with a disability, we are referring to any student who may have a learning disability, an emotional/behavioral disability, and/or a hearing or visual impairment in addition to any student with a physical disability. If any student requires a specific disability-related program accommodation, please contact the MarshAccess director at 201-460-4623 at least two weeks prior to the scheduled program.

School Information

 

School Name:

 

School Phone:

(xxx) xxx-xxxx

 

School Address:

 

 

 

School City:

 

School State:

 

School Zip Code:

Lead Teacher Information

 

First Name:

 

Last Name:

 

Email:

 

Phone:

(xxx) xxx-xxxx

 

Phone Extension:

 

Type of Phone: