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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 9th
(Choose all that apply): 10th
11th
  12th
  Undergraduate
  Special Education Class
  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 Earth Lab: Degrees of Change (for classes < 36 students)
(Choose one): Life Lab (for classes < 36 students)
General Museum Overview (for any size group)
* Number of students:
* Number of chaperones:

The museum requires one (1) chaperone for every ten (10) students. The museum does not offer facilitated field trips for fewer 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?
School/charter bus
Public bus
Metro/subway
Private Car
 

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: Complete payment is required to finalize your reservation when your group’s tour date is confirmed.

Payment, Refund and Cancellation Policy

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