Zimmer Children's Museum 2016 - 2017 Field Trip Request
Name of School *
Your answer
Please indicate 3 preferred dates for visiting, in order of preference. *
Field Trips are only offered Tuesday and Thursday mornings.
Your answer
What visit time OPTION works best for your school? *
Please make sure your group can arrive at the start time.
Name of School District *
Your answer
School Address *
Please include city and zipcode.
Your answer
School Phone Number *
Your answer
Main Contact's NAME, PHONE NUMBER, and E-MAIL *
Your answer
Billling Contact's NAME, PHONE NUMBER, and E-MAIL *
Your answer
Type of School *
Is your school Title 1 or a Preschool that serves a low income population? *
Grade Level of Students *
Approximate Number of Students *
The ZCM can only accomodate 60 students or less for Option 1 and 45 students or less for Option 2.
Your answer
Number of Adults *
The ZCM requires a ratio of 1 adult (over 21) for every 5 students. Any additional adults are charged general admission of $7 each.
Your answer
How will your group be arriving at the Museum? *
Will your group be having lunch during your visit? *
Lunches can be eaten on-site after your museum visit in one of our designated program rooms. There is no food allowed in the museum.
What type of visit would your group like to experience? *
Enrichment Experiences is optional for an additional cost, and is in addition to your museum play time. Available Oct - May. A detailed description of each lesson can be found on our website.
I understand that by submitting this form, I am submitting a REQUEST for a Field Trip. *
My Field Trip is NOT booked until a receive an e-mail confirmation, make a $25 deposit, review the Field Trip Information Guide, and sign and return the Field Trip Contract.
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