Field Trips Request Form Field Trip Date: (mm/dd/yyyy)(Required) Start Time of Visit:(Required) Hours : Minutes AM PM AM/PM Wednesdays from 9am to 11am are reserved for toddler activities. Field Trips may not be scheduled during this time. End Time of Visit:(Required) Hours : Minutes AM PM AM/PM Alternate Field Trip Date: (mm/dd/yyyy)(Required) SCHOOL INFORMATIONType of School(Required) Title I (FREE) Not Title 1 ($5 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 TRIP DETAILSGrade Level/Age of Students Attending(Required) Children must be ages 3-10# of Students (50 Maximum)(Required) # of required adult chaperones (1 required for every 5 students)(Required) Approximate # of extra chaperones(Required) Lunch Option:(Required) Will eat lunch at the Museum Will eat lunch off-site Select one.Gift Shop Preference: Would like access to Museum Gift Shop No access to shop Select one.PRIMARY CONTACTContact Name(Required) Title/Relationship to School(Required) Cell Phone(Required)Preferred Time of Contact:(Required) Mornings Afternoons Evenings Email(Required) Δ Contact: children@santafechildrensmuseum.org or 505-989-8359 ext. 110