School Field Trip Request 2019-2020
Field Trips are offered in the 19-20 School year from 9/26/2019 - 6/5/2020
We offer field trips in two time slots : 10 a.m. and 11:30 a.m.
PLEASE REFER TO THE CALENDAR ABOVE FOR ALREADY BOOKED SHOWINGS
Some Friday afternoons at 1 p.m. available upon request
School Name *
Your answer
Name- Teacher or Contact Person *
Your answer
Contact Phone Number *
Your answer
Email *
Your answer
School Address *
Your answer
First Choice Date and Time *
Only 10 a.m. and 11:30 a.m. time slots available. Friday 1 p.m. shows may be able to be accommodated by request.
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Time
:
Second Choice Date and Time *
Only 10 a.m. and 11:30 a.m. time slots available. Friday 1 p.m. shows may be able to be accommodated by request.
MM
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YYYY
Time
:
Third Choice Date and Time
Only 10 a.m. and 11:30 a.m. time slots available. Friday 1 p.m. shows may be able to be accommodated by request.
MM
/
DD
/
YYYY
Time
:
Total Seats Reserved: Including students, teacher, and chaperones *
Your answer
Title of Fulldome show you would like to see *
A list with descriptions can be found here: http://deanza.edu/planetarium/showdescriptions.html *Please note that another group may have already picked a show for the day and time you requested. Please refer to the calendar above to check already booked showings*
Is your School Title 1? *
We are able to offer a discount to Title 1 eligible schools.
Required
If answered Yes, what percentage of free and reduced lunch does your school have?
Your answer
What Grade Level is the Group
Questions/ Comments/ Concerns
Your answer
If you have questions, please contact us
By phone: 408-864-8814
Or by email: galvangracy@deanza.edu
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