Field Trip Date Request
This form is to request a date for your class to come to the Muse. Please answer as many of the questions as possible.
Field Trips are confirmed with an email.
School Name *
Your answer
Teacher's name (Main contact for field trip day) *
Your answer
Main contact (for scheduling purposes)
Your answer
email address *
Your answer
phone number *
Your answer
School address including zip code
Your answer
Grade level *
Number of Students *
Your answer
Preferred date
MM
/
DD
/
YYYY
Preferred time
Classroom Program Choice
Planetarium Choice
In what county is your school located?
Your answer
Name of School system (if different from county)
Your answer
Is your school Title 1?
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