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LASM Field Trip Registration Form
Field trips are $10 for students and chaperones; school staff is admitted free of charge. Contact
reservations@lasm.org
for questions and assistance!
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* Required
Email
*
Your email
Name of School or Organization
*
Your answer
Is Your School Tax Exempt?
*
Yes
No
Contact Person for School or Organization
*
Your answer
Contact Person Email Address
*
Your answer
Contact Person Cell Phone Number
*
Your answer
School or Organization Address - Street Address
*
Your answer
School or Organization Address - City, State, & Zip Code
*
Your answer
School or Organization Phone Number
*
Your answer
Grade Level of Students
*
Your answer
Total Number of Students
*
Your answer
Number of Sections/Number of Students Per Section
*
Your answer
Number of School Staff
*
Your answer
Number of Parents/Chaperones (if applicable)
*
Your answer
Special Needs:
Your answer
First Date Choice
*
MM
/
DD
/
YYYY
Second Date Choice
*
MM
/
DD
/
YYYY
Third Date Choice
*
MM
/
DD
/
YYYY
Earliest Arrival Time
*
Time
:
AM
PM
Latest Departure Time
*
Time
:
AM
PM
Will you be visiting the Museum Store?
*
Yes
No
Preferred Gallery Tours (Choose Two)
Solar System
Ancient Egypt
Iridescence (STEAM-focused)
Our Louisiana (LA inspired works of art)
Science Station (Grades 2-12)
Discovery Depot (Pre-K - 1st)
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