4th Grade Field Trip

Please complete and submit this form. You will be contacted by the museum desk to confirm your requested tour date.

4th Grade Group Tour Admission: $4.00 per person (Youths, Teachers & Chaperones)

Payment may be made by purchase order, check, or cash..

Tour time is 10:00 am. Check in at 9:45.

(Admission for other school tours and group tours vary.)

School: *

Contact

Salutation:

First Name: *

Last Name: *

School Address

Street: *

Unit:

City: *

State: *

Zip: *

Zip4:

Phones

School Phone: *

Alternate phone:

(please enter number with area code using xxx-xxx-xxxx)

E-mail: *

(for confirmation only)

Grade Level: *

# Attending:

Youth: *

Adults: *

Total Attending: *

(There is a 1/10 ratio of adult to children.)

Special Needs:

School's First Visit?

List your choices of dates.
You will be notified as to date scheduled.
Year(xxxx) Month(xx) Day(xx)

1st Choice *

Year:

Month:

Day:

2nd Choice

Year:

Month:

Day:

3rd Choice

Year:

Month:

Day:

Upon submitting this form, you will link to a receipt with directions & instructions regarding arrival and payment.

Notes to Staff:

4th Grade Field Trip

Please complete and submit this form. You will be contacted by the museum desk to confirm your requested tour date.

4th Grade Group Tour Admission: $4.00 per person (Youths, Teachers & Chaperones)

Tour time is 10:00 am. Check in at 9:45.

Contact

School Address

Phones

# Attending:

List your choices of dates. You will be notified as to date scheduled. Year(xxxx) Month(xx) Day(xx)

Upon submitting this form, you will link to a receipt with directions & instructions regarding arrival and payment.

List your choices of dates.
You will be notified as to date scheduled.
Year(xxxx) Month(xx) Day(xx)