Learning lab Field Trip Request Form

Learning lab 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:*
$12 per child
How many adults will be attending:*
$10 per adult
Date & Time of field trip? Tuesday-Friday:*

MonthDayYear
1st choice
AM/PM Option
Date & Time of field trip? Tuesday-Friday:*

MonthDayYear
2nd choice
AM/PM Option
Date & Time of field trip? Tuesday-Friday:*

MonthDayYear
3rd choice
AM/PM Option
Age Range/Grade of Children Attending:*
What Learning lab would you like? Please choose one.*

Rocks and FossilsWacky PlantsFun-damentals of FlightBubble-ologyWeather Wizard
How many Learning lab groups will you require?*
Learning lab have a maximum of 30 children per group.
First learning lab group?

Learning labs are 45 minutes long with a 15 minute reset.Learning Labs have a maximum of 30 children per group Minutes. Example of time are above. Minutes

AM/PM Option
Second learning lab group?

Learning labs are 45 minutes long with a 15 minute reset.Learning Labs have a maximum of 30 children per group Minutes. Example of time are above. Minutes

AM/PM Option
third learning lab group?

Learning labs are 45 minutes long with a 15 minute reset.Learning Labs have a maximum of 30 children per group Minutes. Example of time are above. Learning labs are 45 minutes long and have a maximum of 30 children per group Minutes. Minutes

AM/PM Option
Will you need a lunchroom?$50*

YesNo
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.
Day of Event Phone Number*
Please enter a number that can be reached in case of emergencies.
Email*
example@example.com
Should be Empty:

Learning lab Field trip Request Form

Tell Us About You!