Field Trip Request Please enable JavaScript in your browser to complete this form.Primary ContactName *FirstLastEmail *Phone *Role at School *--- Select Choice ---Teacher (Will be attending field trip)Teacher (Will not be attending field trip)Admin (Will be attending field trip)Admin (Will not be attending field trip)Lead Teacher ContactNameFirstLastLeave fields blank if same as primary contact.EmailPhoneSchool InformationSchool *District / Network *Homeschool groups: please indicate your homeschool network or enter ‘N/A’Phone *Street *City *State *Zip *Does your school qualify for Title 1 funding? *--- Select Choice ---YesNoField Trip Information Grade Level *K123456789-12Select all that apply.Number of Students *$7/student (Title 1 schools exempt) Number of Chaperones *REQUIRED: (Grades K-6) 1 chaperone:5 students; (Grades 7-12) 1 chaperone:10 students. No charge for required chaperones. Number of Buses (if known)Date (First Choice) *Requests must be made at least 3 weeks in advance.Date (Second Choice) Requests must be made at least 3 weeks in advance.Standard field trip start time is 9:45 am. Request an alternate start time below, if needed.Lunch space requested?NoYesLimited outdoor, shaded lunch space is available November 1–March 31 only, subject to availability.Do you prefer a technology-free field trip? NoYesPlease list any mobility, medical, or accessibility needs we should be aware of to help ensure the best possible experience for your group.How did you hear about our field trip program? School administratorFriend/ColleaguePrevious Field TripOtherPlease review before submitting your field trip request:Submitting this form is a request only and does not guarantee your preferred date. Our Education Department will respond within 3 business days. Your field trip is confirmed only after you receive a confirmation letter from our Education Coordinator. Food, beverages, and backpacks are not permitted in the galleries. Please leave these items at school or with your transportation. Lunch space is limited and, if requested, additional details will be included with your confirmation. Students and chaperones must follow the Museum Manners guidelines, which will be included with your confirmation. If you need to cancel or reschedule, please notify our Education Department at 480-686-9539 as soon as possible. I have read and understand these guidelines, including the food, beverage, and backpack policy. *Submit