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Campus Martius Field Trip Registration (2024-2025)
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* Indicates required question
School Name
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Your answer
School Street Address
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Your answer
City, State, Zip Code
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Your answer
Main Contact Name (Teacher/Staff)
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Your answer
Main Contact Email
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Your answer
Main Contact Phone Number
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Your answer
Grade Level
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Your answer
Number of Students (13 students/group. Limited to 52 students/day for 4 programs, 60 for 5 programs, 73 for 6 programs. Can arrange a second day if total students is more)
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Your answer
Number of Teachers
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Your answer
Number of Total Chaperones ($3/Chaperone) 1 Adult (Teacher or Chaperone) per group of up to 13 students and 1 - 2 extras as "floaters"
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Your answer
Do you anticipate allowing students to purchase items from the museum gift shop?
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Yes
No
Not Sure
Will you be eating lunch at the museum?
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Yes, a packed lunch
Yes, a lunch that will be delivered to the museum
No
Do you have any students with physical or communication limitations that our staff should be aware of? If so, please reach out to a museum staff member to specify how we can make accommodations.
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Yes
No
Please select from the following:
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My students will explore the exhibits and receive a guided tour of the Putnam House only
I would like my students to participate in programs (see program rates on Groups page)
Required
First Date Preference
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MM
/
DD
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YYYY
Second date preference
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MM
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DD
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YYYY
I understand that registrations are accepted in the order they are received and that preference is not given to individuals, schools, or teachers.
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I understand
Required
I understand that my registration is not complete until Northwest Territory Museum Society has confirmed my date.
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I understand
Required
I understand that full payment must be made at least 24 hours in advance.
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I understand
Required
I understand that my first and/or second date/time is not guaranteed and that I may be placed on a waiting list if program dates are filled.
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I understand
Required
I understand that I can update my number of students up to two weeks in advance without a penalty.
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I understand
Required
I understand that no program is guaranteed as availability is reliant on museum staffing.
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I understand
Required
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