4th Grade Field Trip

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

Notice: January and February dates are fully booked, please choose another month below.

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 / Mailing 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)

January and February dates are fully booked, please choose another month.

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.

Notice: January and February dates are fully booked, please choose another month below.

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 / Mailing Address

Phones

# Attending:

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

January and February dates are fully booked, please choose another month.

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)