Education Program Inquiry Form
SPARK Museum hosts school field trips, Wednesday through Friday. For non-school groups please fill out the group tour form. Please complete this form at least two (2) weeks prior to your preferred date. Your field trip is not scheduled until you receive confirmation from SPARK Museum.
Name of School or Group
*
School District/County
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Grade Level of Participants
*
Number of Students/Adults (15 student min)
*
Are you a Title 1 School?
*
Yes
No
I Don't know
Which Program are you interested in?
*
Option 1: Spark Science Assembly
Option 2: Gallery Tour
I don't know, please contact me to help decide which is most appropriate for my group.
Preferred Date
*
-
Month
-
Day
Year
Date
First Alternate
*
-
Month
-
Day
Year
Date
Preferred start time
*
Hour Minutes
AM
PM
AM/PM Option
Alternate Start time
*
Hour Minutes
AM
PM
AM/PM Option
Name of field trip organizer
*
First Name
Last Name
Email of field trip organizer
*
example@example.com
Phone Number of field trip organizer
*
Please enter a valid phone number.
Format: (000) 000-0000.
Will the organizer be attending the field trip?
*
Yes
No
Contact name for day of trip
First Name
Last Name
Contact's e-mail for day of trip
example@example.com
Contacts phone number for day of trip
Please enter a valid phone number.
Format: (000) 000-0000.
What are/will you be studying at the time of the trip?
Other notes to SPARK?
Submit
Should be Empty: