Step One: Tell Us About Your School
School Name
*
Number of Students
*
Number of Teachers
Number of Chaperones
Grade
Is this field trip for a group of students currently enrolled in Texas History?
*
Yes
No
Other
If so, about where will you be in your scope and sequence by the date of the field trip?
School Address
*
Address Line 2
City
*
State/Province
Zip
*
Country
*
Main Phone
*
Fax
Contact Information
First Name
*
Last Name
*
Email
*
Mobile Phone
*
Phone Type
*
Main Phone
Mobile Phone
Other Phone
Alternate Phone
Phone Type
Main Phone
Mobile Phone
Other Phone
Preferred Contact Method
*
Email
Phone
Text
Back
Next
Step Two: Select Your Dates
First Choice Visit Date
*
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Second Choice Visit Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Arrival Time
*
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12
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AM
PM
AM/PM Option
Duration of Visit (hours)
*
Honeypot
Please verify that you are human
*
Submit
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