Field Trip Request Form
Organizer's Name
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First Name
Last Name
School/Organization Name
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School/Organization Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
School Phone Number
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Area Code
Phone Number
Cell phone for contact person on the date of the trip (optional)
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Area Code
Phone Number
Email
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example@example.com
Total Number of Students
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Number of Classes
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Estimated number of school staff (Free)
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Do not include adults that do not work at the school/organization
Estimated number of other chaperones ($10.00 each) No more than 1 for every 5 students.
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Do not include school staff
Grade Level
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K
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12
Multi-Age: K-3
Multi-Age: 4-6
Multi-Age: Middle School
Multi-Age: High School
Which type of program are you interested in booking? Please look carefully at the dates and the age level for each program.
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Self-Guided Tour (offered May - October for all grade levels)
Self-Guided Tour with Workshop (offered May, June, September & October)
History Explorers (offered in March for K-3)
Living on Turtle Island: Abenaki History and Heritage (Offered in March for grades 2-5)
Thanksgiving: From Festival to Feast (offered in November for grades 2 - 5)
Not Sure
Other
Please explain the goals you would like a program to meet so we can discuss what Strawbery Banke might have to offer.
The following are the workshops recommended for grades K - 3. Which workshop(s) would you like to do with your group?
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18th-century Hearth Cooking
Toys and Games of Long Ago
A Colonial Sampler (minimum of 40, maximum of 84 students per day)
Other
The following are the workshops recommended for grades 4-6. Which workshops(s) would you like to do with your group? You may need to choose multiple workshops if you have more than 24 students.
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18th-century Hearth Cooking
Archaeology
Architecture
Immigration
Maritime Life & Trade
Work It Out (minimum of 40, maximum of 84 students per day)
The following are workshops and tours recommended for grades 7 - 12. Which programs are you interested in do with your group?
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Workshop - Architecture
Workshop - 18th-century Hearth Cooking
Guide Tour - Recollections of Home
Guided Tour - The Tale of Two Marys
Guided Tour - Uncovering Archaeology
Guided Tour - Water Has a Memory: Understanding the Impacts of Sea Level Rise
Self-guided tours cost $10.00 per student. Workshops and guided tours (including Thanksgiving, History Explorers, and Turtle Island ) cost $15.00 per student. Do you need financial assistance to make this field trip possible?
Yes
No
How much aid do you need? Priority is given to schools with 40% or more of their students eligible for free/reduced nutrition program.
100%
75%
50%
25%
Other
Strawbery Banke may have a fund to help schools to pay for buses. The criteria is that 40% or more of your students are eligible for free/reduced nutrition program. Do you need help funding your buses?
Yes, please contact me with more information.
No.
When would you like to schedule this program?
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Can be a specific date/time or a range of dates that would work with your schedule.
What time will you arrive at the museum?
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AM/PM Option
What time do you need to leave the museum?
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Hour
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AM/PM Option
Do you have any questions/comments about your request?
Submit
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