Field Trip Request Form - Sci-Tech Discovery Center

Contact Information

Contact Person *

First

Last

Contact Email *

Contact Phone

School / Organization *

School District *

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
One and a half to two hours long

Total # of Adults *

One free school staff member per 10 students
Additional Chaperones will be asked to pay a reduced admission fee of $7 upon arrival

Special Education Accommodations Needed?

Does your school receive Title 1 funds? *

Yes
No

*Your school may be grant recipient eligible

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 each

Arrival Time Preference *

9:30 am
10:00 am
10:30 am or later

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, including an outdoor lunch, if necessary.

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

10-student minimum per program.

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

$7 admission plus 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 plus an additional $5 per students, per add-on.

Optional Lunch Facility Rental $2 per student *

Yes
No

Groups are welcome to use the complimentary picnic tables in front of the building on a first come, first serve basis. Please bring your own trash bags, and dispose of them in the outdoor waste bins to the right of the building

*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: