Planet Word Virtual Field Trip Request Form
Thank you for your interest in a Planet Word Virtual Field Trip. Education staff will follow up via email to schedule your program. (Keep an eye on your spam folder in the next few days!)
Your field trip is not confirmed until you have received a confirmation email from our staff.

Virtual Field Trips requiring payment (please refer to our For Educators page for payment policies) must be paid in full 3 business days prior to the scheduled program or the program will be cancelled.
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Email *
Would you like to be added to our educator e-mailing list?
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Preferred Title
First Name *
Last Name *
What is your preferred phone number (must be reachable on the day of the program, no dots or dashes)? *
What is the name of your school or organization? *
What is the street address of your school or organization?
In what state is your school or organization located?
In what zipcode is your school or organization located? *
Are you registering as part of a school-related activity or for another group or organization?
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