Field Trip Reservation Form

Please complete this form and click the Submit button below.

Museum representative will call you to confirm date, time and program availability. Reservation requests are not guaranteed until you speak with a Museum representative.

(* Indicates Required Fields)

*Name of Teacher/Contact
*Daytime Phone
Cell Phone
*Email
*Name of School/Organization
*School Address
*City
*State	*Zip
*County
*School Phone
*Is this your first time booking with us?	Yes No
Does your group have any special needs?

Preferred dates for visit:
*Choice 1:
*Choice 2:
*Choice 3:
*Earliest possible arrival time:
*Latest possible departure time:

*How will you travel?
Bus	How many buses will you bring?

Train

Walk

Car (must pay parking)

Van/Mini-bus (must pay parking)

*Estimated number of Students:

*Estimated number of Teachers:

*Estimated number of Chaperones:

What grade(s) are the students in?

Would you like to reserve a lunch room? ($10 fee) Yes No

Science Works Labs

If you would like to sign up for a ScienceWorks Lab, please enter the number of students that would be participating in each lab. Fee is only for students, so don't include teachers or chaperones.

Preschool labs: $2 per student
All About Our Senses (ages 3-5)
Labs for grades K-8: $3 per student
Slime Time! (K - 1st grade)
Marvelous Magnets (K - 1st grade)
Bright Idea (2nd - 3rd grade)
Simple Machines (2nd - 3rd grade)
Math in Motion Level A(2nd - 3rd grade)
Water Cycle (2nd - 4th grade)
Sound Science (3rd - 4th grade)
Math in Motion Level B (4th - 5th grade)
Circuit Masters (4th - 5th grade)
The Ups and Downs of Roller Coaster Physics (4th - 6th grade)
Crime Lab Caper (5th - 8th grade)
Cow Eye Dissections**(5th - 8th grade)

** Dissection labs include an Additional Materials fee of $30/class

CAN'T COME TO US?

We'll come to you with our Outreach program

Field Trip Reservation Form

Science Works Labs

Preschool labs: $2 per student

Labs for grades K-8: $3 per student