Field Trip Request Form School Year ’25 – ’26 (At Sci-Tech) – Sci-Tech Discovery Center

Request Form Purpose *

Free Quote Inquiry
Begin Booking Process

Please note that quotes do NOT reserve dates or times. Quoted prices are estimates only and may not reflect final amount due. Deposits are due 30 days prior to trip date to secure booking reservations. If you have questions, please contact us.

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 *

Email

Confirm Email

School/ Organization Information

School / Organization Type *

School / Organization *

School District *

School Secretary Name *

First

Last

School Secretary Email *

Email

Confirm Email

School Secretary Phone *

Street Address *

Address Line 1

Address Line 2

City

State

Zip Code

Field Trip Request Info

Total Students Headcount *

$7 per student. Duration 1.5 - 2 hours.

Grade Level(s) *

If unsure, please provide a potential range.

Estimated Total Pre-K *

If unsure, please provide the maximum. Adjustments can be made upon invoicing.

Estimated Total Kinder *

If unsure, please provide the maximum. Adjustments can be made upon invoicing.

Estimated Total 1st *

If unsure, please provide the maximum. Adjustments can be made upon invoicing.

Estimated Total 2nd *

If unsure, please provide the maximum. Adjustments can be made upon invoicing.

Estimated Total 3rd *

If unsure, please provide the maximum. Adjustments can be made upon invoicing.

Estimated Total 4th *

If unsure, please provide the maximum. Adjustments can be made upon invoicing.

Estimated Total 5th *

If unsure, please provide the maximum. Adjustments can be made upon invoicing.

Estimated Total 6th - 12th *

If unsure, please provide the maximum. Adjustments can be made upon invoicing.
Note: WOW/Lab programming is not available for general grades 6+. Please contact us if you have questions.

Total # of Staff *

1 chaperone per 10 students is REQUIRED. Required chaperone tickets are provided free of charge. Any extra staff tickets may be distributed at your discretion to meet the ratio. br /> Please include any special education staff in your total number.

Total # of Non-Staff Chaperones (Pre-paid BEFORE arrival) *

Additional chaperones included on this form will be listed on the contract invoice to be pre-paid by the school. If you would like your chaperones to pay at the door, please write "0".

Special Education Accommodations Needed?

Please contact us if you have learners with special needs, mobility accommodations, etc. We will do our best to accommodate for all students.

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 *

9:30AM
10:00AM
10:30AM
11:00AM
11:30AM
12:00PM
Afternoon (May be eligible for more T1 funds)

Preferences will be taken into consideration but not guaranteed. Arrival times are based on a first-come basis.

Afternoon timeslots are typically a quieter time period and recommended for groups that require special accommodations.

Arrival Time Preference *

12:00 pm
12:30 pm
1:00 pm
1:30 pm
2:00 pm
2:30 pm

Preferences will be taken into consideration but not guaranteed. Arrival times are based on a first-come basis.

Afternoon timeslots are typically a quieter time period and recommended for groups that require special accommodations.

Field Trip Date Preference 1 *

Requests within the next 30 days may not be eligible for programming such as WOW Shows or Learning Labs.
Please note that our facility is closed on Mondays. Submitting a request does NOT guarantee date availability. Please allow up to 14 days for a response during high-volume periods.

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.
Visit dates within the next 30 days are NOT eligible for programming.

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. Marked Learning Labs have a consumable cost of $15/class of 30.
Visit dates within the next 30 days are NOT eligible for programming.

*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:

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