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  TEACH & LEARN

School Field Trip Request Form

Print a PDF version of this form to submit via fax or mail.

See Reservation Procedures for submission instructions.

Required fields are starred.

* School Name:

* Contact Name:
* School Address:
* City/State/Zip:
* Telephone (Daytime):
Telephone (Mobile):
* Fax:
* Email:
* Grade Level 6th
(Choose all that apply): 7th
8th
  9th
  10th
  11th
  12th
Undergraduate
a special education class
an English for Speakers of Other Languages class (ESOL)
one that requires other special needs
Please describe any special needs your group may require
   
* Exhibit Emphasis Global Warming Facts & Our Future (for classes < 36 students)
(Choose one): Infectious Disease (for classes < 36 students)
General Museum Overview (for any size group)
* Number of students (maximum 36):
* Number of chaperones

The museum requires one (1) chaperone for every ten (10) students. The museum does not offer facilitated field trips for less than 12 students.
   
Please list, in order of preference, the date and time your group would like to visit. Field trips are offered any day of the week in both the morning and afternoon. Tuesdays are preferred because the museum is closed to the general public. Please note that the program will last approximately 2 hours.
* Date 1: / / (Month/Day/Year)
  Morning at (hh:mm)
  Afternoon at (hh:mm)
*Date 2: / / (Month/Day/Year)
  Morning at (hh:mm)
  Afternoon at (hh:mm)
   
Name of contact to arrive with group
(if different from above):
*How will you be traveling to the museum?
Free bus
School/charter bus
Public bus
Metro/subway
Private Car
(Please note: Free bus transportation is available to schools in the greater DC metropolitan area ^ and is offered on a first-come, first-served basis)

If you would like to make your field trip visit part of a day trip to DC, please indicate your plan/itinerary below.

Payment Requirement:If the school is from outside the greater DC metropolitan area^, full admission payment is required to finalize your reservation when your group’s tour date is confirmed.

Payment, Refund and Cancellation Policy

^The greater DC metropolitan area is defined as Washington DC, Montgomery County MD, Prince George’s County MD, Charles County MD, Arlington County VA, Fairfax County VA, Prince William County VA, Loudon County VA and all cities and towns within these counties.

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