Field Trip Request - CCPLS - All Four Branches
Please fill out the below form if you are requesting a field trip for a group of children, 18 years old or younger.
When I Say Field Trip I Mean ... *
Select Your Students Age Ranges: *
Required
How Many Children Are You Planning On Attending? *
Your answer
How Many Guardians Are You Planning To Supervise At All Times? *
Your answer
Library Branch of Interest And/Or Closest Branch: *
Are You Part Of A School, Daycare, or Similar Organization? *
If You Answered Yes, Please Let Us Know Your Group's Name:
Your answer
Field Trip Coordinator's Name: *
Your answer
Field Trip Coordinator's Email Address: *
Your answer
Field Trip Coordinator's Phone Number: *
Your answer
Field Trip Coordinator's Cell Phone Number:
Your answer
Requested Date Of Visit: *
MM
/
DD
/
YYYY
Request Field Trip Start Time (check all that could apply): *
Required
I Understand: *
Required
What Is Your Desired Outcome Of The Field Trip? *
Anything else you would like for us to know?
Your answer
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