Exploration Field Trip Request Form

Exploration Field trip Request Form

One chaperon must attend for every 6 students. For preschool-aged children. One chaperone must attend for every 4 students. All required chaperones will attend free of charge.
Tell Us About You!
Organization/Business Name
How many children will be attending:
$10 per child
How many adults will be attending:
$10 per adult
Date & Time of field trip? Tuesday-Friday:

MonthDayYear
2 digit month, 2 digit day, 4 digit year1st Choice
AM/PM Option
Date & Time of field trip? Tuesday-Friday:

MonthDayYear
2 digit month, 2 digit day, 4 digit year2nd choice
AM/PM Option
Date & Time of field trip? Tuesday-Friday:

MonthDayYear
2 digit month, 2 digit day, 4 digit year3rd choice
AM/PM Option
Age Range/Grade of Children Attending:
Will you need a lunchroom?$50 Lunch room not available in summer months.
If you want a lunchroom what is your Prefered Time?
No earlier than 11:00am
Address

Street Address

Street Address Line 2

CityState

Zip Code
Special Notes:
One chaperon must attend for every 6 students. For preschool-aged children. One chaperone must attend for every 4 students. All required chaperones will attend free of charge.
Contact Name

First NameLast Name
Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Day of Event Phone Number
Please enter a number that can be reached in case of emergencies.Format: (000) 000-0000.
Email
example@example.com
Should be Empty:

Exploration Field trip Request Form