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Island SPACE Caribbean Museum Field Trip & Group Activities Intake Form
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Email
*
Your email
Enjoy group tours at Island SPACE Caribbean Museum
Name
*
Your answer
Phone number
*
Your answer
Alternate phone number
Your answer
Name of school
*
Your answer
School level
*
High School
Middle School
Elementary School
Other:
Required
Approximately how many students will be in your group?
Your answer
What are your students' ages or grade ranges?
Your answer
How many chaperones are in your group?
Your answer
When do you plan to visit
*
Summer break (camp)
Fall semester
Spring semester
Other:
Required
In addition to the museum tour, which ALL groups enjoy, what activity / activities options would you like your group to participate in?
*
Painting (Middle and High)
Crafting (Elementary)
Traditional Dance (Elementary)
Traditional Caribbean Games (Elementary)
Other:
Required
Would you like to be added to our general mailing list for regular even updates and announcements? If yes, please include your personal (non-Broward Schools) email address in the "Other" field below.
Yes
No
Other:
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Please include any additional notes, questions or comments here
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