Field Trip Request Form School or Organization Name * First Name Last Name School or Organization Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Contact * First Name Last Name Contact Email * Contact Phone * (###) ### #### Contact Alternate Phone * (###) ### #### List Student Grades * One adult chaperone required for every 10 students. Kindergarten First Grade Second Grade Third Grade Fourth Grade Fifth Grade Sixth Grade Seventh Grade Eighth Grade Ninth Grade Tenth Grade Eleventh Grade Twelfth Grade Optional Add-on 30-minute hands-on activity for $7 per student Please list any special needs you would like for us to accommodate? How did you hear about us? * We have been here before From a colleague Website or social media Advertisement Thank you!
