2018 - 2019 Field Trip Request Form
Day-of Logistics
Name of School *
Your answer
Is your school Title 1 school that serves a low income population? *
Day-of Lead Chaperone's Name *
Your answer
Day-of Lead Chaperone's E-mail *
Field Trip Guide & Enrichment Experience information (if applicable) will be sent to this address.
Your answer
Day-of Lead Chaperone's Cell Phone Number *
Your answer
Please select the time/date options that works best for your school. *
Required
Please indicate your preferred dates for visiting. *
1st Choice
Your answer
Please indicate your preferred dates for visiting. *
2nd Choice
Your answer
Please indicate your preferred dates for visiting. *
3rd Choice
Your answer
Grade level of Students *
Please check all that apply.
Required
Approximate Number of Students *
ZCM can only accommodate visits for school groups with 60 students or less for fields trips.
Your answer
Number of Adults (teachers & parents) *
ZCM requires a ratio of 1 adult to every 5 students. Additional adults are charged $7.50 each.
Your answer
How will your group be getting to the museum? *
Required
Will your group be having lunch during your visit? *
Lunches may be eaten following your museum visit in The Slavin Children's Center. No food is allowed in the museum. Monday, Tuesday, and Thursday morning lunch times are: 12pm-12:30pm. There is no lunch time for Tuesday afternoon field trip visits.
Type of Visit *
Stay & Play is offered all year long. Enrichment Experiences are available Oct-May. Enrichment Experiences are at an additional cost for $50 per group visit.
If you are adding an Enrichment Experience to your visit, please select your lesson. If you are not adding an Enrichment Experience, please select 'No Enrichment Experience: Stay & Play' *
A detailed description of each lesson can be found on the website.
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