Museum Group Visit & Field Trip Interest Form

2. 

4. Inspiring the Love of Learning through the Power of Play!

6. School/Organization*

8. Address*

10. City*

11. State*

12. Zip*

14. Contact Name*

15. Contact Phone*

16. Contact Email*

18. 1st Choice - Field Trip Date*
    1st Choice - Field Trip Date

19. Start Time*
    Start Time

20. End Time*
    End Time

22. 2nd Choice - Field Trip Date*
    2nd Choice - Field Trip Date

23. Start Time*
    Start Time

24. End Time*
    End Time

26. Group - Grade Level or Age Range*

28. # of Kids*

29. # of Teachers/Paid Staff*

30. # of Adult Chaperones*

32. How will your group arrive?*

    1. School Bus

    1. Van

    1. Individual Cars

    1. Other

34. Will your group need a lunch room? NOTE: Not available Fridays.*

    1. Yes

    1. No

35. Avanti's lunches are available for $5. Interested?

    1. Yes

    1. No

37. Learning Labs are an in-depth, hands-on program led by a museum educator with topics that supplement what you are teaching in the classroom. Would you like to request Learning Labs for your visit?*

    1. Yes

    1. No

39. If Yes to the above question, what Learning Lab topic would you like covered?

Leave This Blank:


41. 1. Receive email copy
42. Email address

    This field is not part of the form submission.

43. Submit

* indicates a required field