Science in Play 2 Go - Field Trip Request Form
Please fill in all the information to request a day and time to schedule a field trip.

Groups should not exceed 80 participants. Groups are required to bring adult chaperones to help supervise children. Field trips will last approximately 2 hours. Groups can schedule a time to arrive between the following available times:
Mondays, Tuesdays, Thursdays, Fridays 9:00 - 12:00 p.m.
Mondays, Tuesday, Thursdays, Fridays 1:00 - 5:00 p.m.

Requests will be granted on a first come first served basis. An education specialist will contact you to confirm your reservation and discuss a specific arrival time for your group. If you have questions regarding the SIP2Go exhibit, an educational specialist may be contacted through email: play2go@trimblelibrary.org or heather@trimblelibrary.org
or by calling (502) 255 - 7362.

Email address *
Name of Organization *
Your answer
Phone number of Organization *
Your answer
First and last name of Person In Charge (eg. Jane Doe) *
Your answer
Phone number of Person In Charge *
Your answer
First Choice for Date of Field Trip. (Available Dates March 18th - May 31st. No field trips on Wed., Sat. or Sun.) *
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First Choice for Start Time of Field Trip for the 1st day requested. *
Second Choice for Date of Field Trip. (Available dates are March 18th - May 31st. No field trips on Wed., Sat. and Sun.) *
MM
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Second Choice for Start Time of Field Trip for 2nd date requested. *
If you are a school, please list the grade level of students participating in the field trip.
Your answer
How many people will be participating in the field trip?
Your answer
How many adults can you bring to assist with your group?
Your answer
Will there be any from your group that require special assistance? If so, please explain accommodations that we can help provide.
Your answer
Please write comments, requests or questions here.
Your answer
A copy of your responses will be emailed to the address you provided.
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