Field Trip & In-Class Activity Request Form

If you are human, leave this field blank.

Fieldset

Your Name *

Your Email *

Grade/Subject *

Coordinator\'s Name *

(Teacher\'s name if there is no other coordinator.)

Coordinator\'s Cell Phone Number *

Please Select One *

Field Trip

In-Class Activity

Date of Event *

Detailed description *

(if an in-class activity involves food, please describe food and who will be preparing it.)

Time of Departure/Begin Time *

Expected Time of Return/End Time *

Cost per Student *

(if applicable)

Educational Goal of Activity *