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.
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service