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Louisiana Children's Museum Field Trip Registration Form
Field Trips are available Tuesday through Friday. Group rate is $6 per person. Please allow our staff at least 72 hours to process your request. Your reservation is complete upon receipt of a confirmation letter by email.
Email address *
Name of School or Organization
Your answer
Parish
Your answer
Main Field Trip Contact
Your answer
Daytime Phone Number
Your answer
School/Organization Address
Your answer
City, State and Zip Code
Your answer
Grade Level of Children Attending Field Trip
Number of Children Attending Field Trip
Your answer
Number of Chaperones Attending Field Trip - please note 1 chaperone is required for every 5 children
Your answer
What time you would like to schedule your field trip?
What day would you like to schedule your field trip?
MM
/
DD
/
YYYY
List the names of the homeroom teacher/s who will be attending the field trip.
Your answer
List the email/s of the homeroom teacher/s above. (We will be contacting teachers in advance of the field trip with suggestions to maximize students' experiences.)
Your answer
Would you like to order school box lunches from Dickie Brennan & Co. Catering?
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