Exploration Field Trip Request Form

Exploration Field trip Request Form
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

AM/PM Option
Age Range/Grade of Children Attending:*
Will you need a lunchroom?*

YesNo
What time would you like a lunchroom?

No earlier than 11:00am Minutes

AM/PM Option
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:

Exploration Field trip Request Form