School Program Request Form
Full Name
*
First Name
Last Name
Contact Number
*
Format: (000) 000-0000.
Email Address
*
example@example.com
School name
*
Street Address Line 2
City
State / Province
Postal / Zip Code
Grade
*
Street Address Line 2
City
State / Province
Postal / Zip Code
Number of students
*
We can only host a maximum of 30 students at a time. If you are hoping to bring a larger field trip group, please explain your needs in the comments box!
Street Address Line 2
City
State / Province
Postal / Zip Code
What programs are you interested in? View our program options on our website.
*
Please specify a program! If you have questions, stick them in the question box at the end of this form!
Would you like to have your program at the museum or in your classroom?
At the museum
In my classroom
Please list your top three choices of dates and start times for your program.
We encourage you to book in November-April, as we will not be able to accommodate everyone in May and June!
1.
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
2.
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
3.
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
What email should we send a program invoice to?
*
Payment for programs is due 14 days after the program is delivered.
Street Address Line 2
City
State / Province
Postal / Zip Code
Any questions or comments?
Save
Submit
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