Field Trip Request Form
Please complete the form below at least three weeks prior to your field trip.
Today's Date *
Teacher's Name *
Name of School *
Grade *
Number of Students *
Number of Adults/Chaperones/Teachers *
One chaperone per five students is required at the Museum. One chaperone per four students is required at Kilchis Point Reserve
Field Trip Location *
Date of Field Trip *
Requested Time *
Example: 10:00 - 1:00 Note: The Museum is open 10:00 am to 4:00 pm
Is this your first visit? *
Overview and purpose of your visit *
Objectives *
Specify skills/information that will be learned. What are the agenda items for this field trip?
Do you need a staff-led lesson, activity, or tour? *
If so, please describe your needs
Contact Person *
Name
Contact Person
Address
Contact Person *
Phone
Contact Person *
Email
Additional Information
Special requests or questions. Example: Special needs student's requirements.
For Official Use Only
Approved/Denied
Submit
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