Field Trip Request Form

Preferred Date 1

Preferred Date 2

Preferred Date 3

Preferred Date 1*

Date

Preferred Date 2*

Date

Preferred Date 3

Date

Earliest Arrival Time Preferred*

9:00 AM is the earliest arrival time the museum can accommodate

Latest Departure Time Preferred*

Do you anticipate your group eating lunch at the museum?*

YesNoOther

Note: Your group is responsible for bringing meals to the museum if you prefer to eat onsite.

Grade level(s) (select all that apply)*

Estimated number of students*

Estimated number of adults*

1 adult admission is included free with every 4 children

Are multiple classrooms and/or locations attending this field trip?

YesNo

Please provide the names of each teacher/classroom/location and the number of students attending from that group (e.g. Smith - 23 students)

How many classrooms are part of your group?*

Estimated number of bus loads (or type of transportation)*

Does your group have any special accessibility or accommodation needs that you are aware of? Please describe.

$10 is the discounted rate of admission tickets for field trip experiences.

The Minnesota Department of Education enrollment database will be referenced to determine if your group qualifies for grant-funded support to further reduce ticket prices based on the percentage of students who are eligible for free or reduced-price meals:

30–49% of students eligible: Admission is $8 per person
50% or more of students eligible: Admission is $5 per person

If your school / organization has additional financial need, please indicate this below. Requests for assistance will be considered on a case-by-case basis.

How do you intend to pay for this field trip experience (including transportation)?*

We will ask parents/caregiversField trips are part of our school/organization budgetI will be covering the cost directlyWe have grants/donations (e.g. PTO)Other

Will your funding source(s) cover the entire cost of the field trip?*

YesNo

If not, please describe any financial barriers and what assistance may be needed to make a field trip to the museum possible.

What is your field trip budget for tickets, transportation, etc. per student?

Great River Children’s Museum recognizes not all budgets are the same. Please describe any financial barriers to scheduling your field trip.

Field Trip Request Form

Scheduling Details

Field Trip Request Details

Cost

Field Trip Request Form

Your Contact Information

Field Trip Contact

School or Group Information

Additional Notes or Questions