Field Trip Request

Field Trip Request

Open to any Public, Private or Homeschool from Kentucky or the Southern Indiana counties of Floyd, Clark, Harrison, Scott or Washington. This includes college/universities, daycares, scout troops and pre-schools. Please be aware submitting this form DOES NOT confirm your reservation and only serves as a request for booking with the Kentucky Derby Museum team.
Tell Us About Your Group
Teacher/Group Leader Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email Address*
example@example.com
Financial Contact Name (ex: Bookeeper, Principal, etc) *

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email Address*
example@example.com
Mailing Address*

Address Line 1

Address Line 2

CityState

Zip Code
School/Group Name*
Student Grade Level(s)*
Number of Students in PK-5th Grade*
Number of Students in 6th-12th Grade*
All field trips must have a minimum ratio of 1 adult per 10 students to book a field trip. You will be given a maximum of 1 adult per 4 children for free. Any additional adults over the 1:4 maximum will be invoiced to the school at a rate of 8.00 per person
Maximum Number of Adults that Receive Free Admission with Field Trip
Number of Adult Chaperones (Including Teachers)*
Do you need lunch space? This must be scheduled in advance. There will be an additional $0.50 per student charge for a clean up fee.*

YesNo
Total Cost of Pk-5th*
Total Cost of 6th-12th *
Total Cost of Lunch fees*
Total Number of Paid Adult Chaperones*
Total Cost Paid Adult Chaperones*
Total Number of Students*
Estimated Cost (Based on Information Above)*
Date(s) & Time
Special Considerations:
- Free Admission is offered to all Kentucky and Southern Indiana schools for field trips that occur during January and February
- Starting 2 weeks before the Kentucky Derby to 4th week of May of each year the Kentucky Derby Museum in resident thoroughbred and mini-horse are housed off-site and will not be accessible for view during this time
- The Kentucky Derby Museum education department kindly requests that only registered students be brought on school field trips and chaperones refrain from bringing additional children not enrolled in the attending school
Requested Field Trip Date and Arrival Time*
Preferred Date #1*

MonthDayYear
Preferred Date #2*

MonthDayYear
Arrival Time*
Choose an Education Program
Summer Education Programs

Derby Fun (PK-12)Aristides' Art Club (K-8) **Requires an additional fee of $3 per student
Standards Aligned Education Programs

Arts & Humanities: Horse Tales (PK-2)Math: Racing Colors (PK-1)Science/Practical Living: Thoroughbred Care (K-3)Math: Mathin' Around the Track (1-3)Social Studies: Creating Traditions (2-3)Social Studies: Louisville and the Derby (3-12)Math: Odds in Everyday Life (4-8)Science/Practical Living: Science on the Track (4-8)Arts & Humanities: Picture This! Art and Photography at the Kentucky Derby (4-12)Science/Practical Living: Secretariat, The Shoe and You (4-12)Social Studies: Kentucky’s Derby (4-12)Social Studies: Economics and the Derby (4-12)Social Studies: Race Through Time (4-12)Social Studies: The Black Heritage Experience in the Kentucky Derby (4-12)Social Studies: Vanishing Bluegrass (4-12)Social Studies: Careers in Racing (8-12)Science/Practical Living: Horsepower: The Making of a Racing Machine (9-12)
Math

Racing Colors (PK-1)Mathin' Around the Track (1-3)Odds in Everyday Life (4-8)
Science/Practical Living

Thoroughbred Care (K-3)Science on the Track (4-8)Secretariat, The Shoe and You (4-12)Horsepower: The Making of a Racing Machine (9-12)
Social Studies

Creating Traditions (2-3)Louisville and the Derby (3-12)Kentucky’s Derby (4-12)Economics and the Derby (4-12)Race Through Time (4-12)The Black Heritage Experience in the Kentucky Derby (4-12)Vanishing Bluegrass (4-12)Careers in Racing (8-12)
Summer Programs

Derby Fun (PK-12)Horseshoe Art (K-8) **Requires an additional fee of $3 per student
Additional Details
How did you hear about us?*

Repeat visitBrochureWebsitee-BlastRecommendationOther
Additional information about your group
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Field Trip Request

Tell Us About Your Group

Date(s) & Time

Choose an Education Program

Additional Details