Old Cowtown Museum Field Trip Request

Old Cowtown Museum

Field Trip Request Form
Contact Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Alternate Phone Number
Please enter a valid phone number.
Email*
example@example.com
Name of School or Organization*
Type of Organization*
Title 1 School*
School or Organization Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Number of Students*
*Minimum of 12 students required for guided programs.
Grade Level*
*For mixed grades, please specify the grade range (i.e. K-5th) in the comments at the end of the form.
Number of Teachers/ Staff*
Number of Parents/ Chaperones
1 Parent/Chaperone for every 10 students.

Date (First Choice)*

MonthDayYear
Subject to availability. Closed on Mondays and Tuesdays.
Date (Second Choice)*

MonthDayYear
Subject to availability. This date will be chosen if the first date is unavailable. Closed on Mondays and Tuesdays.
Arrival Time
Guided programs are 2 hours long. Visits over 3 hours will be charged the full day rate.
Departure Time
Guided programs are 2 hours long. Visits over 3 hours will be charged the full day rate.
Lunch Plans*
Picnic tables are available on a first-come, first served basis. Inside locations available for inclement weather. Cowtown does not schedule lunch delivery.
Program Type*
Guided programs are 2 hours long.
Guided Program (First Choice)
Please choose your first choice. Only 1 Guided program per group. Subject to availability.
Guided Program (Second Choice)
Please choose your second choice. This will be chosen if the first choice is unavailable. Only 1 Guided program per group. Subject to availability.
Self-Guided Program Choice
Choose from a general self-guided visit or one of our structured self-guided programs (downloadable materials available on our website)
The Historic Wichita Cowtown, Inc. Board offers a bus scholarship to assist with transportation fees. They cover up to $150 per bus.

If you wish to use this scholarship, please indicate with the dropdown below.

You must print and complete the form below, and return that and a copy of your bus invoice to them after your visit. Their contact information is located on the form.
Bus Scholarship*
If you wish to use the scholarship, please print the form below. The bus invoice and this form must be returned after your visit for reimbursement.
Bus Scholarship Form
Method of Payment

Invoice (preferred method)CheckCredit Card (VISA and Mastercard Only)Cash
Questions/ Comments?
Should be Empty: