Field trip Request Form
Plan a day of play, discovery, and learning at Omaha Children'sMuseum! Complete the form below to request your field trip. Our team willcontact you to confirm availability and finalize the details.
Tell Us About You!
Contact Name
*
First Name
Last 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
Organization/Business Name
*
How many children will be attending:
*
How many adults will be attending:
*
Preferred Field Trip Date and Time(Tuesday–Friday)
*
.
Month
.
Day
Year
2 digit month, 2 digit day, 4 digit year
1st choice
AM
PM
AM/PM Option
Preferred Field Trip Date and Time(Tuesday–Friday)
*
.
Month
.
Day
Year
2 digit month, 2 digit day, 4 digit year
2nd choice
AM
PM
AM/PM Option
Age Range or Grade Level of Children Attending
*
Would you like to add a Hands-On Learning Program to your field trip? ($2 per student)
Rocks and Fossils
Wacky Plants
Fun-damentals of Flight
Bubble-ology
Weather Wizard
How many Learning lab groups will you require? Each Learning Lab accommodates a maximum of 30 children. Sessions are 45 minutes long, with a 15-minute reset between sessions.
1st Learning Lab Group
2nd Learning Lab Group
3rd Learning lab group
Will you need a lunchroom?$50
*
Yes
No
Special Notes:
One chaperone is required for every six students. Forpreschool-aged children, one chaperone is required for every four students. Allrequired chaperones receive free admission.
Submit
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