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NCCBPE

               Register Online or Printout and Mail Form

UC DAVIS FIELD TRIP STUDENT SURVEY FORM 

FILL IN THE FORM FOR STUDENTS TO ATTEND THE UCD ANNUAL PICNIC/OPEN HOUSE

SCHOOL NAME                                                                              

ADDRESS:

CITY/ZIP:  

 STUDENT NAME: 

GRADE LEVEL: 

HOME ADDRESS: 

CITY/STATE/ZIP: 

PHONE NUMBER: 

I  PLAN TO GO TO THE UCD PICNIC/FIELD TRIP:      YES            NO

I WENT ON THE UCD FIELD TRIP LAST YEAR:           YES    NO

SIGNATURE (OPTIONAL)

 

 

 

 

 

The Survey Form may also be mailed to: