Out of School Field Trip Form
For any after school programs, BASE programs, daycare, or day camps that are looking for an activity for students to do for days when they're off from school (holidays and school breaks).
Organization Information
Group Name *
Your answer
Billing Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Organization Phone Number *
Your answer
Grade *
Your answer
Your Information
First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Day of Contact
Please give us the person who will be here on the day's contact information so we can send them information for their trip.
First Name *
Your answer
Last Name *
Your answer
Cell Phone Number *
Your answer
Email *
Your answer
Planning Your Visit to the History Colorado Center
Maximum Number of Students Anticipated *
Need at least 10 participating students
Your answer
Maximum Number of Chaperones Anticipated *
You are required to bring a 10:1 ratio of students to adults. Extra adults are $8 each
Your answer
Which Program *
Desired learning objectives
If there is any theme, exhibit, or topic you'd like us to cover, please enter it below. While we can't guarantee specific activities, we will do our best to incorporate your objectives into your visit.
Your answer
Preferred Dates
Please only list the days that will work for you. You will have two hours to visit the museum. Please note if you would like to stay longer than two hours in the comment section below.
First Choice Date *
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DD
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YYYY
Second Choice Date *
MM
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DD
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YYYY
Third Choice Date *
MM
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DD
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YYYY
Preferred Time *
Note in Summer, self-guiding is allowed after 2pm. All other times in year self-guiding only.
If preferred time is unavailable please pick another time that would work *
Please only put a time that will work
Additional Information
Any students with special needs/ESL? *
Comments
Your answer
Lunchroom space is limited. Would you like to request to use the lunchroom before or after the field trip? *
We will confirm if the lunchroom is available for your group. If the lunchroom is unavailable, there is outdoor space your group to eat lunch. Or the students will have to eat lunch at school before or after the field trip
How will you be getting to the museum? *
Notes, special accommodations, etc.
Your answer
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This form was created inside of State.co.us Executive Branch.