Request for Field Trip / School Visit

Request for Field Trip / School Visit
Name*

First NameLast Name
Email*
example@example.com
Phone Number
Please enter a valid phone number.
School / Organization*
Town
Grade(s) / Subject(s)*
Are you requesting a field trip, school visit, or both?*
Courses and Dates
What is your desired timeframe for a program? (Check all that apply.)

Winter 2026 (Jan. - Mar.)Spring 2026 (Mar. - May/June)Summer 2026 (June - Aug.)Fall 2026 (Sept. - Dec.)Winter 2027 (Jan. - Mar.)
What days of the week work best for you? (Check all that apply.)

MondayTuesdayWednesdayThursdayFriday
If you have a specific program date, please indicate that here, along with alternate date possibilities:
How many days of programming do you anticipate?
How long would you like your HG/School visit to be? (1 hr, 2 hrs, 3+ hrs, not sure)
Courses you are interested in (select all that apply):

Aquatots (or other PreK program)Data ArtDiadromous FishesTouch Tank ExperienceLife Cycles of Marine AnimalsLobster RolesOcean Plastics / MicroplasticsPowerful PlanktonSeaweeds Run the WorldStream Ecology: MacroinvertebratesZones of the OceanCustom Course
Estimated Attendance Numbers
Total Students*
Number of Teachers*
Number of Chaperones*
Special Notes
Should be Empty:

Courses and Dates