Educational Fee Waiver Request Form - U.s. Department Of The Interior

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EDUCATIONAL FEE WAIVER REQUEST FORM
BANDELIER NATIONAL MONUMENT
15 Entrance Rd
Los Alamos, NM 87544
(505)672-3861 ext. 412 Fax (505)672-9607
Band_Group_Reservations@nps.gov
***Please complete form and mail or email to the Monument
AT LEAST 2 WEEKS IN ADVANCE***
Date(s) of Visit: ____________________________________
Time of arrival: ____________________
Time of departure: _________________
Group Name: __________________________________________________________
Faculty Contact: ________________________________________________________
Mailing Address:
_____________________________________________________
_____________________________________________________
_____________________________________________________
Phone #: (___) ________________ email: _________________________________
Fax #: (___) __________________ cell #: (___) ____________________________
# of minor students: ____________ # adult chaperones (if applicable): _____________
Note: There must be a ratio of least 1 adult leader for every 10 minors; no more than 65 students from one school permitted in
the park at one time. If your group is larger, consider visiting two days.
# of car(s) ______ # of van(s) ______ # of bus(es) ______ # of other _________
Note: Buses must drop-off/pick-up passengers at Frijoles Canyon Visitor Center and park 3 miles away
Course title, catalog number, and description OR grade-level and subject matter description:
Explain the educational purpose of the trip. What aspect/resource of the park is to be
studied?
FEE WAIVER
I understand that the Code of Federal Regulations allows for fee waivers ONLY for bona fide
educational and/or scientific institutions studying the Monument’s specific resources as part of a for-
credit curriculum. I hereby certify that the above detailed trip meets these requirements and therefore
request that entrance fees be waived at Bandelier National Monument.
Please attach appropriate supporting documentation (e.g. lesson plan, syllabus, or letter
describing study)
______________________________________________
________________
Group Leaders’ Signature & Title
Date
***You will receive an approval/confirmation letter by email, fax, or post***
If your group is interested in scheduling a ranger-led activity, please contact the Visitor Center directly at (505)672-3861
x517. Fees will apply.
OFFICE USE ONLY:
NPS Approval___________________________________ Date______________ Confirmation Letter sent: _____ Copy to VC _____

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