Children & Hospitals Week Registration Form

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Building Healthy Heroes

(Kindergartners only)

February 24-28, 2020

Field trip details:

Registration: Opens Monday, Dec. 2, 2019
Location: Louisville Slugger Field
Cost: Free! Schools must cover transportation.
Transportation: Schools are responsible for coordinating their own transportation. Jefferson Transportation is offering a special rate of $175 for the field trip and can stay later than school buses. Call (502) 614-7269.
Lunch: Lunch areas are not available; make alternative plans for lunch. Have a snack before boarding the bus, and eat a sack lunch at a park or classroom after the field trip.

For more information and questions, contact Norton Children’s Prevention & Wellness at (502) 629-7358.

"*" indicates required fields

Name of School*

Contact Person*

Email Address*

Street Address 1*

Street Address 2

City*

State*

Zip*

Phone Number*

How would you like to be contacted?*

Email

Phone

Leave message with office

How many classes?

Total number of students attending*

Flexibility is extremely important. The more available dates and times, the better chance of classes being scheduled for the field trip.

Check what day(s) your students CANNOT attend

Earliest possible arrival time*

Latest possible departure time*

Additional comments

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} .container-fluid .post-password-form { padding: 200px 0; text-align: center; } body.location-template-default #location-specialty { display: none !important; } #gform_wrapper_2[data-form-index="0"].gform-theme, [data-parent-form="2_0"] { --gf-color-primary: #204ce5; --gf-color-primary-rgb: 32, 76, 229; --gf-color-primary-contrast: #fff; --gf-color-primary-contrast-rgb: 255, 255, 255; --gf-color-primary-darker: #001ab3; --gf-color-primary-lighter: #527eff; --gf-color-secondary: #fff; --gf-color-secondary-rgb: 255, 255, 255; --gf-color-secondary-contrast: #112337; --gf-color-secondary-contrast-rgb: 17, 35, 55; --gf-color-secondary-darker: #f5f5f5; --gf-color-secondary-lighter: #fff; --gf-color-out-ctrl-light: rgba(17, 35, 55, .1); --gf-color-out-ctrl-light-rgb: 17, 35, 55; --gf-color-out-ctrl-light-darker: rgba(104, 110, 119, .35); --gf-color-out-ctrl-light-lighter: #f5f5f5; --gf-color-out-ctrl-dark: #585e6a; --gf-color-out-ctrl-dark-rgb: 88, 94, 106; --gf-color-out-ctrl-dark-darker: #112337; --gf-color-out-ctrl-dark-lighter: rgba(17, 35, 55, .65); --gf-color-in-ctrl: #fff; --gf-color-in-ctrl-rgb: 255, 255, 255; --gf-color-in-ctrl-contrast: #112337; --gf-color-in-ctrl-contrast-rgb: 17, 35, 55; --gf-color-in-ctrl-darker: #f5f5f5; --gf-color-in-ctrl-lighter: #fff; --gf-color-in-ctrl-primary: #204ce5; --gf-color-in-ctrl-primary-rgb: 32, 76, 229; --gf-color-in-ctrl-primary-contrast: #fff; --gf-color-in-ctrl-primary-contrast-rgb: 255, 255, 255; --gf-color-in-ctrl-primary-darker: #001ab3; --gf-color-in-ctrl-primary-lighter: #527eff; --gf-color-in-ctrl-light: rgba(17, 35, 55, .1); --gf-color-in-ctrl-light-rgb: 17, 35, 55; --gf-color-in-ctrl-light-darker: rgba(104, 110, 119, .35); --gf-color-in-ctrl-light-lighter: #f5f5f5; --gf-color-in-ctrl-dark: #585e6a; --gf-color-in-ctrl-dark-rgb: 88, 94, 106; --gf-color-in-ctrl-dark-darker: #112337; --gf-color-in-ctrl-dark-lighter: rgba(17, 35, 55, .65); --gf-radius: 3px; --gf-font-size-secondary: 14px; --gf-font-size-tertiary: 13px; --gf-icon-ctrl-number: url("data:image/svg+xml,%3Csvg width='8' height='14' viewBox='0 0 8 14' fill='none' xmlns='http://www.w3.org/2000/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M4 0C4.26522 5.96046e-08 4.51957 0.105357 4.70711 0.292893L7.70711 3.29289C8.09763 3.68342 8.09763 4.31658 7.70711 4.70711C7.31658 5.09763 6.68342 5.09763 6.29289 4.70711L4 2.41421L1.70711 4.70711C1.31658 5.09763 0.683417 5.09763 0.292893 4.70711C-0.0976311 4.31658 -0.097631 3.68342 0.292893 3.29289L3.29289 0.292893C3.48043 0.105357 3.73478 0 4 0ZM0.292893 9.29289C0.683417 8.90237 1.31658 8.90237 1.70711 9.29289L4 11.5858L6.29289 9.29289C6.68342 8.90237 7.31658 8.90237 7.70711 9.29289C8.09763 9.68342 8.09763 10.3166 7.70711 10.7071L4.70711 13.7071C4.31658 14.0976 3.68342 14.0976 3.29289 13.7071L0.292893 10.7071C-0.0976311 10.3166 -0.0976311 9.68342 0.292893 9.29289Z' fill='rgba(17, 35, 55, 0.65)'/%3E%3C/svg%3E"); --gf-icon-ctrl-select: url("data:image/svg+xml,%3Csvg width='10' height='6' viewBox='0 0 10 6' fill='none' xmlns='http://www.w3.org/2000/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M0.292893 0.292893C0.683417 -0.097631 1.31658 -0.097631 1.70711 0.292893L5 3.58579L8.29289 0.292893C8.68342 -0.0976311 9.31658 -0.0976311 9.70711 0.292893C10.0976 0.683417 10.0976 1.31658 9.70711 1.70711L5.70711 5.70711C5.31658 6.09763 4.68342 6.09763 4.29289 5.70711L0.292893 1.70711C-0.0976311 1.31658 -0.0976311 0.683418 0.292893 0.292893Z' fill='rgba(17, 35, 55, 0.65)'/%3E%3C/svg%3E"); --gf-icon-ctrl-search: url("data:image/svg+xml,%3Csvg width='640' height='640' xmlns='http://www.w3.org/2000/svg'%3E%3Cpath d='M256 128c-70.692 0-128 57.308-128 128 0 70.691 57.308 128 128 128 70.691 0 128-57.309 128-128 0-70.692-57.309-128-128-128zM64 256c0-106.039 85.961-192 192-192s192 85.961 192 192c0 41.466-13.146 79.863-35.498 111.248l154.125 154.125c12.496 12.496 12.496 32.758 0 45.254s-32.758 12.496-45.254 0L367.248 412.502C335.862 434.854 297.467 448 256 448c-106.039 0-192-85.962-192-192z' fill='rgba(17, 35, 55, 0.65)'/%3E%3C/svg%3E"); --gf-label-space-y-secondary: var(--gf-label-space-y-md-secondary); --gf-ctrl-border-color: #686e77; --gf-ctrl-size: var(--gf-ctrl-size-md); --gf-ctrl-label-color-primary: #112337; --gf-ctrl-label-color-secondary: #112337; --gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md); --gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md); --gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md); --gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md); --gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md); --gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md); --gf-ctrl-btn-border-color-secondary: #686e77; --gf-ctrl-file-btn-bg-color-hover: #ebebeb; --gf-field-img-choice-size: var(--gf-field-img-choice-size-md); --gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md); --gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md); --gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md); --gf-field-pg-steps-number-color: rgba(17, 35, 55, .8); }