Field Trip Request Form
Thank you for your interest in having a field trip at Kids Discovery Museum! Please leave us as much detail as possible about your field trip and we'll get back to you within three business days. Please note: Completing this form does not reserve your field trip.
Date requested for the field trip
*
-
Month
-
Day
Year
Date
Preferred time
*
Teacher's name
*
First Name
Last Name
Email
*
Phone Number
*
-
Area Code
Phone Number
Name of School or Organization
*
School's Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Number of students attending
*
Number of chaperones attending
*
Age range of children
*
Please provide any additional information that would be helpful for our team to know in order to help you plan a field trip.
Submit
Should be Empty: