Old Cowtown Museum
Field Trip Request Form
Contact Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Name of School or Organization
*
Type of Organization
*
Please Select
School
Homeschool
Youth Organization
Other
Title 1 School
*
Please Select
Yes
No
Bus Scholarship
*
Please Select
Yes
No
*Must provide bus invoice after visit for reimbursement. HWCI Board covers up to $150 per bus.
School or Organization Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Number of Students
*
Grade Level
*
Please Select
Preschool
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Kindergarten-5th Grade Mixed
Mixed Grades
Number of Teachers/ Staff
*
Number of Parents
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Date (First Choice)
*
-
Month
-
Day
Year
Subject to availability. Closed on Mondays and Tuesdays.
Date (Second Choice)
*
-
Month
-
Day
Year
Subject to availability. Closed on Mondays and Tuesdays.
Arrival Time
Please Select
9:30 AM
10:00 AM
10:30 AM
11:00 AM
12:00 PM
12:30 PM
1:00 PM
Departure Time
Please Select
11:30 AM
12:00 PM
12:30 PM
1:00 PM
1:30 PM
2:00 PM
2:30 PM
Lunch Plans
*
Please Select
Bringing a sack lunch
Delivered by USD 259 (USD 259 schools only)
None
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
*
Please Select
Guided Only (Half Day)
Self-Guided Only (Half Day)
Self-Guided (Full Day)
Combined Guided and Self-Guided (Full Day)
Guided programs are 2 hours long.
Guided Program (First Choice)
Please Select
Daily Life: 1870s Daily Living
Farm Life: 1880s Style
Becoming Wichita
Cowboys and Cattle
The Talking Wire
Working Smarter in the 1870s
Please choose your first choice. Only 1 Guided program per group. Subject to availability.
Guided Program (Second Choice)
Please Select
Daily Life: 1870s Daily Living
Farm Life: 1880s Style
Becoming Wichita
Cowboys and Cattle
The Talking Wire
Working Smarter in the 1870s
Please choose your second choice. Only 1 Guided program per group. Subject to availability.
Self-Guided Program Choice
Please Select
General Self-Guided Tour
Community Helpers
Children: Town and Country
Working Together to Make a Town Work
All Around the Town
Teaching in the One Room School
Choose from a general self-guided visit or one of our structured self-guided programs (downloadable materials available on our website)
Method of Payment
Invoice (preferred method)
Check
Credit Card (VISA and Mastercard Only)
Cash
Questions/ Comments?
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