Education Program Inquiry Form

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

CityState / Province

Postal / Zip Code
Grade Level of Participants*
Number of Students/Adults*
Are you a Title 1 School?*

YesNoI Don't know
Which Program are you interested in?*

Option 1: Spark Science AssemblyOption 2: Gallery TourI don't know, please contact me to help decide which is most appropriate for my group.
Preferred Date*

MonthDayYear
Date
First Alternate*

MonthDayYear
Date
Preferred start time*

Hour Minutes

AM/PM Option
Alternate Start time*

Hour Minutes

AM/PM Option
Name of field trip organizer*

First NameLast Name
Email of field trip organizer*
example@example.com
Phone Number of field trip organizer*
Please enter a valid phone number.
Will the organizer be attending the field trip?*

YesNo
Contact name for day of trip

First NameLast 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.
What are/will you be studying at the time of the trip?
Other notes to SPARK?
Should be Empty: