Bronx Children's Museum Field Trip Inquiry Form
Please fill out this form as completely as possible and someone will get back to you within 10 business days.
Sign in to Google to save your progress. Learn more
Email *
Name of Organization/School *
What is the address of your school/organization? *
Is your school classified as Title I or Title III?
Clear selection
The cost of a field trip to the Bronx Children's Museum is a flat fee of $500, this covers the cost of 40 students and 10 chaperones. Grant funding may be applied to cover the cost of your trip, however this is based on availability and is not a guarantee. Would you like to apply for funding for your trip? 
Clear selection
What's your City Council District? *
Who is your City Council Member?
Contact Name *
Best Contact Phone Number *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Bronx Children's Museum.

Does this form look suspicious? Report