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 (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 accomidations, ect. 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 *

9:30 am
10:00 am
10:30 am
Afternoon (May be eligible for more T1 funds)

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 + 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 $5 per students, per add-on.

*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: