Online Distance Learning Reservation Request

Page Title

DL Home | In Your Classroom | At The Nature Center | Request Program | Evaluation

Thanks for initiating the registration process! Shortly after submitting a Reservation Request, you will be contacted by our Reservationist in order to confirm the program information. Once you have received a confirmation via Email or phone, your reservation is complete. All programs must be scheduled at least 4 weeks in advance of the program date. Groups outside of Lorain County will be charged $40 per program. Your group will be responsible for all connection charges incurred during the program.

If you wish to register by phone, please call the French Creek Nature Center at (440) 949-5200, or 1-800-LCM-PARK.

Step 1: Fill in all fields on form.
Step 2: Click “Send Email” to submit the Reservation Request.

CONTACT PERSON INFORMATION
Contact Name:
Contact Phone:
Email:
SCHOOL INFORMATION
School/Group Name
Teacher’s Name:
Teacher’s Phone:
Teacher’s email:
Mailing Address (for pre- & post-packages, material kits, etc.):

Grade level(s):
Number of Students:
Special Needs:
Billing Address:
PROGRAM INFORMATION
Program Requested:
Date & Time (1st choice):
Date & Time (2nd choice):
Date & Time of Test Call:
TECHNICAL SUPPORT CONTACT INFORMATION
Tech Support Name:
Tech Support Phone:
Tech Support Email:
Line Speed:
Protocol:
Additional Comments: