Book A Field Trip

Field Trips Request Form

Field Trip Date: (mm/dd/yyyy)(Required)

Start Time of Visit:(Required)

Wednesdays from 9am to 11am are reserved for toddler activities. Field Trips may not be scheduled during this time.

End Time of Visit:(Required)

Alternate Field Trip Date: (mm/dd/yyyy)(Required)

Type of School(Required)

Title I (FREE)

Not Title 1 ($7 per person)

School Name(Required)

School District

School Phone(Required)

School Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Grade Level(s) of Students Attending(Required)

Children must be ages 3-10

# of Students Anticipated (50 Maximum)(Required)

(1 adult chaperone is required for every 5 students)

# of Adult Chaperones to be Provided (1 required for every 5 students)(Required)

Approximate # of Extra Chaperones(Required)

Any additional chaperones/adults beyond what is required will be charged Museum admission

Lunch Option:(Required)

Will provide own lunch and eat at the Museum

Will eat lunch off-site

Select one.

Contact Name(Required)

Title/Relationship to School(Required)

Cell Phone(Required)

Email(Required)