Scheduling Form for Enhanced Field Trip

Today’s date_________________  Scheduler’s Initials________

Teacher’s Name______________________________________________________

School______________________________________________________________

District______________________________________________________________

County______________________________________________________________

Date of reservation___________________ Grade _______

Total # of students_____   

Total number of classes from your school attending on this date _____________________________________________________

Names of other teachers attending with you_____________________

School Phone number ____________________________________

Most frequently checked e-mail/s____________________________
 

School Fax ____________________________________________

Cell Phone number/s______________________________________________

Arrival_________Departure time________

Choose one:  Art    Music   or   Costumed Historical interpreter

Do you have any special need students attending?      Yes       No

If yes, what accommodations?    Physical challenges, mental, vision/auditory challenges - please describe:______________________________________________
_____________________________________________________


Will this be your first visit to the facility?    Yes       No

Please note we require ALL children and adults to wear easy identifiable name tags.

A lunch break can be included.  Plan on using our picnic area outside the building, if inclement weather - lunch will be inside the building.