Ethos Field Trip Planning Form
Thank you for your interest in Ethos Music Center's field trip program!

Please complete the following information at least two weeks in advance of your desired field trip date. We will contact you within 5 business days from receiving the form to confirm a date and time for your field trip. Please note that completing this form is NOT a reservation for your field trip. 
If you're interested in scheduling an off-site field trip, we will contact you to make arrangements before confirming your reservation.

If you have questions or would like more information about Ethos field trips, contact Lauren Coons, Ethos Program Director, at Lauren@ethos.org or 503-283-8467, ext. 103
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Email *
Name (first and last) *
Title
School or organization *
Name and contact email of scheduling contact (if different than above) 
Contact phone # *
Which of our field trip programs are you interested in? 
(Topic - grades - student capacity - academic areas) Programs with an (*) may be held on-site or off-site. All field trips are 2 hours in duration. Let us know if you would like a shorter or longer program.
*
Required
Custom Programming - if you'd like to schedule a custom field trip, please provide us with some more information about the curriculum, topics, or activities that you are interested in
Which of the following are you interested in scheduling?
Clear selection
Age/grade of students in group *
Number of students *
Number of adults (please note that we require a minimum of one adult for every 6 students with some flexibility for off-site field trips) *
Does your school have Title I status or do 60% or more of the students or participants at your school or organization qualify for OHP/SNAP or other income-support benefits? *
Desired date and time of field trip. Please list at least three options. *
Please contact us at least two weeks in advance of your desired dates.
Please list any special requests or accommodations your group will need to have a fun, safe and comfortable experience at Ethos
How did you hear about us?

Liability Release

As a condition of participation in Ethos' programs, I hereby release Ethos and its agents, associates, and related parties from all responsibility for personal injuries to attendees and damages to property sustained in the performance of program participation.

By typing my name I agree that I have read and accept this release statement.

Name:
*
Invoice Recipient: Please enter the name and email address of the party we should invoice for your stay. Invoices will be sent upon confirmation of your scheduled date. 
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