In Person Field Trip Request

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In-Person Field Trip Request

Lead Source
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Email *
N/A
Name
N/A

Required First Required Last
Job Title *
N/A
Phone *
N/A
School District/Organization *
N/A
School Name
N/A
Billing Address
N/A

Required
Street Address
Address Line 2 Required City Required State/Region/Province Required
Postal / Zip Code

Required
Country
Which of the following best describes your organization? *
N/A
What is the age range of the target audience for this trip? (minimum age is 5 years old) Mark all that apply *
N/A
Please provide your three preferred trip dates. (weekdays only)
Date 1 *
N/A

MM/dd/yyyy
Time 1 (AM or PM) *
N/A
Date 2 *
N/A

MM/dd/yyyy
Time 2 (AM or PM) *
N/A
Date 3 *
N/A

MM/dd/yyyy
Time 3 (AM or PM) *
N/A
How many students will be attending. Students *
N/A

Minimum of 20 students.
How many chaperones will be attending? Chaperones *
N/A

Minimum of 1 chaperone per 10 students (1:10)
Do you need a 30-Minute Lunchtime Add-On for $380?
N/A
Which activity would you like to include in your in-person field trip experience? *
N/A
Which method of payment do you plan to use? *
N/A

A 3% fee will be added to all card transactions.
We strive to meet everyone's needs. Do you have any comments, questions or special requests you'd like us to consider?
N/A
We want to make sure everyone's experience is great! Do you have any guests who will require special accommodations? If so, please explain.
N/A
How did you hear about this opportunity? *
N/A
Due to the confidential nature of our work, a signed Non-Disclosure Agreement will be required of all participants 18 years of age or older. A copy of the NDA can be found here.

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