Field-Trip Interest Request Form
Field-Trip: Youth and Chaperones will travel to Imagine Art Center to enjoy Art Enrichment Centers.

Our Location: 63 S Main St Porterville, CA 93257
Contact us at (559) 615 - 1373 OR info@imagineartcenter.org

Field Trips are held 10am to 2pm, alternate time slots can be arranged
Minimum # of Students : 20
Minimum # of Hours : 4 hours
$60 per student - includes All materials for min of two complete Projects
Email *
Name *
Please ensure your email is noted for a response to your inquiry. *
Contact Number with Ext. Number (if applicable)
Secondary Contact Number
Organization Name  *
Estimated Day  *
Minimum number of hours (4) 
MM
/
DD
/
YYYY
Number of Youth Attending Event  *
Grade Level/s of Youth attending *
Will Youth be eating lunch at Imagine Arts? *
Additional Notes/ Any Questions
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Imagine Art Center.

Does this form look suspicious? Report

Google Forms