Step 1 of 4 25% Group CoordinatorName*Email* Cell Phone*School InformationIf applicable.School NameAddress Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code School Phone Group InformationAll attendees must be accounted for. Visitor count includes students and ALL adults attending. Adults who are not included in the initial booking will be directed to our Welcome Center for a regular admission ticket and may not be admitted into smaller spaces with their group, ex: Cat’s Corner, where capacity is limited. A staff member from the school must meet additional or late chaperones in the Welcome Center before joining the students. Grade Level(s) of Students Attending*Select all that apply. Preschool Kindergarten First Grade Second Grade Third Grade Fourth Grade Fifth Grade Sixth Grade Seven Grade Eighth Grade High School Number of Students*Minimum of 10 required.Number of Chaperones (one chaperone required for every 10 students; must be 21+)* Events of Interest (Choose one or more)All Ages Steam Day for the Holidays - Friday, December 12, 2025 (Grades K-12) Homeschool Day - Friday, April 12, 2026 (Ages 3 and up) Steam Day - Friday, June 12, 2026 (Grades K-12) Early Enrichment (Ages 3-6) Dr. Seuss Early Enrichment Day- Monday, March 2, 2026 Dr. Seuss Early Enrichment Day- Monday, March 9, 2026 Dr. Seuss Early Enrichment Day- Monday, April 6, 2026 Additional InformationWill your group bring lunches to eat at the Springfield Museums? Yes No How would you describe your students' learning style?Are there any sensory concerns (tactile, noise, ability to sit for a class, etc) that we should be aware of?Is there anything else we should know about your students to ensure you have the best experience at the Springfield Museums?Accessibility/Special Requests (Student allergies, disabilities and/or mobility needs)Would you like to receive our monthly Educator E-Newsletter? Yes No How did you hear about us?Unless otherwise noted by the visiting school educator, submitting this form gives consent to the use of photographs/videotape taken during the course of a school program visit for publicity, promotional and/or educational purposes (including publications, presentation or broadcast via newspaper, internet or other media sources).* Agree Decline Send me further information The visiting school educator does this with full knowledge and consent and waives all claims for compensation for use, or for damages. If a single student or multiple students may not be photographed, please inform the school program coordinator. Δ
