SCM CLASSROOM TRUNKS REQUEST FORM
Please fill out the following form to request a Cultural Connections On-the-Go classroom trunk rental.

**PLEASE NOTE: A Museum staff member will contact you by phone or e-mail to confirm your rental reservation.**

School/Organization Name *
Your answer
Grade Level (select all that apply) *
Required
Number of students in class (PLEASE NOTE: Each trunk has supplies for one class of about 30 students) *
Your answer
Contact Name *
Your answer
Contact E-mail Address *
Your answer
Contact Phone Number *
Your answer
Trunk(s) Requested *
Required
Number of Trunks Requested *
Your answer
Requested Pick-Up Date (PLEASE NOTE: The rental period is 2 weeks) *
Your answer
Is your school a Title I school? *
Required
Please write any additional comments in the space below:
Your answer
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