Connecticut's Old State House School Program Registration
Thank you for your interest in booking a field trip to Connecticut's Old State House! 

For more detailed information about our programs, visit our School Programs page on our website.

If you have any questions about field trips to Connecticut's Old State House, please email OSHSchools@cga.ct.gov or call 860-240-5340.
Sign in to Google to save your progress. Learn more
Your Name: *
Your Email: *
Your Phone Number: *
School/Group Name: *
Billing Address:  *
Town/City: *
School State: *
Zip Code:
Number of students:
Grade level of participating students: *
Required
We have a limited pool of bus funding for the 2025-2026 school year. If you would like to check the availability of bus funding, please indicate the number of buses you anticipate needing below:  *
Program selection: *
Required
Program add-ons, if any:
Are you also planning to visit the State Capitol Building? We can work closely with their Tours & Info staff to coordinate your visit.  *
Date of Trip (1st Choice): *
MM
/
DD
/
YYYY
Date of Trip (2nd Choice):
MM
/
DD
/
YYYY
Date of Trip (3rd Choice):
MM
/
DD
/
YYYY
Earliest possible arrival time: *
Time
:
Latest possible departure time: *
Time
:
How many TOTAL adults (including yourself) will be attending the trip? *
How many of the adults listed above are school staff (teachers, paraprofessionals, nurses, etc.)? *
How many of the adults listed above are NOT school/district staff (parents, guardians, volunteers, etc.)? *
Would you like to reserve on-site lunchroom space for your group? *
Name of the day-of-trip contact (if someone other than yourself will be leading the trip):
Email for day-of-trip contact:
Phone number for day-of-trip contact:
If you have any additional questions or notes about your reservation, please include them here.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of ctdemocracycenter.org.

Does this form look suspicious? Report