Virtual Field Trip Lesson Request Form
Thank you for allowing the Discovery Park of America education team into your classroom or home to inspire your students to see beyond. Before the virtual experience can take place, we must collect information pertaining to your students and your specific needs. Within 3 business days of this form being submitted, you will receive an email from your Discovery Guide (the educator leading your virtual lesson) to set up a pre-lesson meeting with the class or group leader.
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What kind of group do you represent? *
Required
Name of school, group, or cooperative? *
In what city, county, district, and state are your students primarily located? *
Phone number for your administrative office? *
Number of students *
What grades are represented in this group? Check all that apply. *
Required
Primary contact *
Phone number *
Email Address *
Which virtual field trip lesson would you like to reserve? *
What date would you prefer to host the virtual experience? *
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Please choose a secondary date.
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What time of day is best for your group? *
Time
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Which virtual medium works best for you? *
Terms & Conditions
Before submitting this form, please read and accept the following terms:

1. As Discovery Park of America provides this opportunity at no cost to educators or students, abuse of this program, repeated cancellation of a preregistered virtual field trip lesson, or negligence in correspondence may result in your virtual lesson request being either rejected or cancelled at the discretion of the Education Director.
2. A confirmation email may be sent to the primary contact listed on this form. This confirmation, however, is not a guarantee that the date and time specified in this form will be available. Be conscious of additional correspondence from the Discovery Park education team within 3 business days.
3. If you believe that your form was not received or you have not received an email within 3 business days, email education@discoveryparkofamerica.com or call (731)-885-5455.
Electronic signature of applicant:
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