Field Trip Registration
Form used by teachers to sign up for field trips to the Community Arts Center
Email address *
Teacher Name *
Your answer
Name of School *
Your answer
Grade Level *
Your answer
Requested date for Field Trip *
MM
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DD
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YYYY
Requested start time for Field Trip (each field trip lasts 90 minutes and regular field trip slots are at 9am, 11am, and 1pm. If you need to schedule outside of these time slots, please contact us.) *
Time
:
How many students will be attending (limit 30)? *
Your answer
How many students in your group have disabilities (includes cognitive, physical, learning - any student with an IEP is included)? *
Your answer
If your group includes students with disabilities, please share any information that will help us accommodate your students and engage them fully in the field trip experience. You may also contact Abby Quirk-Royal at admin@communityartscenter.net or 859.236.4054 to discuss accommodations.
Your answer
How many adults will accompany your group (including teachers, parent chaperones, etc.)? *
Your answer
Is there anything else we should know to help your students have a great experience?
Your answer
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
Submit
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