Field Trip Request Form
Thank you for your interest in a field trip at the North Carolina Botanical Garden!

Submitting this form does not guarantee or schedule your field trip. We will contact you when we receive your request form to confirm your program details. Once your program is scheduled, you will receive a confirmation email and payment invoice within five (5) business days. If you have problems submitting this form or additional questions, please contact Mike Dunn, Natural Science Educator, at 919-962-2887 or mike.dunn@unc.edu.

First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
School Name *
Your answer
School Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
County *
Your answer
First choice date for your program (no programs on Mondays) *
Your answer
First choice time for your program (9:30 am or later) *
Your answer
Second choice date for your program (no programs on Mondays) *
Your answer
Second choice time for your program (9:30 am or later) *
Your answer
Number of children in group (See program list for maximum number per program) *
Your answer
Grade level *
Your answer
Number of chaperones (at least 1 chaperone per 5 children, no more than 12 total) *
Your answer
Program Name *
School Type *
If your school is a public school, is it a Title 1 school?
Please describe any special accommodations your group requires.
Your answer
What is your mode of transportation? *
Additional comments?
Your answer
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