2022-2023 Field Trip Request Form
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Preferred start date  *
MM
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DD
/
YYYY
Preferred start time *
School or group name *
Contact first name *
Contact last name *
Contact email *
Contact phone number *
School or group address  *
City, State/Province, Zip Code *
School district *
Or enter private, if applicable
Principal/Head of school, if applicable
Names and cell numbers of staff accompanying group *
Are you requesting classes or a tour of exhibits? *
Length of program
Clear selection
Grade level(s) or age range of group *
Number of children *
Number of adults *
Additional information or questions?
Our staff is fully vaccinated. Let us know if your organization requires proof. *
Required
Would you like information on applying for a scholarship? 
Is there anything you would like us to know about your students or group, in order for us to provide the best educational experience?
Which classes would your group be interested in taking? Information and cost of classes at ptmsc.org/programs/learn/school-programs/classes-tours.  Please Note: if you are coming only for a tour of the exhibits, do not select classes.
If your program is multi-day, where will your group be staying?
Clear selection
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