Old Cowtown Museum Field Trip Request

Old Cowtown Museum

Field Trip Request Form
Contact Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Name of School or Organization*
Type of Organization*
Title 1 School*
Bus Scholarship*
*HWCI Board covers up to $150 per bus. A transportation scholarship form will be provided and must be returned for reimbursement.
School or Organization Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Date (First Choice)*

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

MonthDayYear
Subject to availability. 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)
Method of Payment

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