Field Trip Request Form - Sci-Tech Discovery Center

Request Form Purpose *

Begin Booking Process
Free Quote Inquiry

*Please note that if you choose Quote Inquiry then you will not be added to our booking calendar. If you choose to move forward after receiving your quote then you will need to contact us via phone, email, or fill out a new form. Preferred dates will not be saved.

Contact Information

Contact Person *

First

Last

Role *

Contact Email *

Email

Confirm Email

Contact Phone *

Is contact person different then the day of contact? *

Yes
No

Day of Name *

First

Last

Day of Phone *

Day of Email *

School/ Organization Information

School Type *

School / Organization *

School District *

School Admin. Email *

Email

Confirm Email

Street Address *

Address Line 1

Address Line 2

City

State

Zip Code

Field Trip Request Info

Grade Level(s) *

Museum Visit - Total # of Students *

$7 per Student. 20 student minimum.
1.5 - 2 hours long

Total # of Adults (Pre-paid BEFORE arrival) *

One free school staff member per 10 students
*Additional Chaperones will be asked to pay a reduced admission fee of $8.50 upon arrival

Special Education Accommodations Needed?

Please let us know if you will have children with special needs, mobility accommodations, etc. We will accommodate to the best of our ability!

Does your school receive Title 1 funds? *

Yes
No

*Your school may be grant recipient eligible

What percentage of your school is low income?

More than 40%
Less than 40%
Unsure

Field Trips are allotted 90-minute blocks of time for exhibit exploration.

$7.00 / Student - 1 Free Chaperone / 10 Students Additional group guests are $7.00 when pre-booked or $8.50 at the door each

Arrival Time Preference *

Preferences will be taken into consideration but not guaranteed. Arrival times are based on a first-come basis. *Afternoon timeslots are normally a quieter time period and recommended for groups that require special accommodations.

Arrival Time Preference *

Preferences will be taken into consideration but not guaranteed. Arrival times are based on a first-come basis. *Afternoon timeslots are normally a quieter time period and recommended for groups that require special accommodations.

Field Trip Date Preference 1 *

Field Trip Date Preference 2 *

Field Trip Date Preference 3

Field Trip Date Preference 4

Field Trip Add-Ons While at Sci-Tech Discovery Center

For each WOW Stage Show or Learning Lab added, we will extend your field trip by 30 minutes.

If multiple programs are booked, we will provide a rotating schedule.

Full descriptions and grade levels can be found in our Educator's Guide (www.MindStretchingFun.org).

20-student minimum per program.

WOW Stage Shows: (30-45 minutes held at our stage for up to 100 students at a time) *

$7 admission + an additional $3 per student, per add-on.

Learning Labs: (30-45 minute classroom programs held for up to 30 students at a time) *

$7 admission + an additional $6 per students, per add-on.
*Some Learning Labs have a consumable cost of $15/class of 30

*Requests are not guaranteed field trip reservations.

Field trips are only guaranteed once a signed contract and deposit have been received.

If you have any questions, please contact our booking department by emailing bookit@scitechdiscovery.org, or call us at (469) 896-2188 ext. 2.

Today's Date: *

Notes: