Washington Pavilion Field Trip Request Form 

Please include as much information as possible when completing the following form.

After submitting the form below, you should be redirected to a confirmation page. If you have any issues submitting this form; please contact the group sales coordinator at 605-731-2322 or email groupservices@washingtonpavilion.org 

  IMPORTANT NOTES 

  1. This form is only a request and is subject to availability. You will be contacted by a Group Services representative to confirm if your requested date and activities will be available. 
  2.  Washington Pavilion Membership benefits DO NOT apply when visiting with a group (school, youth, or other) due to special group programming and funding. 
  3.  A group must include a minimum of ten (10) paid admissions to qualify for the normal or reduced group rate. Please note there is a 3.5% fee when paying with a card.   

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Group or School Name  *
Contact Person (First and Last Name) *
Contact Address (Address, City, Zip Code) *
Contact Email  *
Confirm Contact Email  *
Contact Phone  *
Preferred Contact Method *
Required
Number of Students  *
Number of Chaperones- 1 Free Chaperone for Every 10 Students  *
Grade Levels *
Arrival Time 
Time
:
Departure Time  *
Time
:
Date 1  *
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/
DD
/
YYYY
Day 2 *
MM
/
DD
/
YYYY
Date 3 *
MM
/
DD
/
YYYY
Which field trip package are you interested in? *
Captionless Image
Required
Transportation *
For those arriving by bus, please indicate the number of busses. 
Lunch ( 30 minutes) *
Is your organization tax exempt? *
Does your group qualify for reduced admission? Requires 20%  of students to qualify for free or reduced lunch school or program- wide.  *
Special Accommodations *
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