Groups must have at least 5 attendees to book a school program. Groups looking to visit with more than 10 people can expect to be split into smaller groups that will tour separately on a rotating schedule. Step 1 of 425%Group CoordinatorName*Email* Cell Phone*Would you like to receive Educator Text Alerts from the Springfield Museums?*YesNoExpect 3 messages regarding your field trip, plus an additional 3-4 messages per year. Message and data rates may apply. Text STOP any time to cancel.School InformationIf applicable.School NameAddress Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code School PhoneGroup 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 10 or less.Grade Level(s) of Students Attending*Select all that apply. Preschool Kindergarten First Grade Second Grade Third Grade Fourth Grade Fifth Grade Sixth Grade Seventh Grade Eighth Grade High School College Continued Education ProgramNumber of Students*Number of Chaperones (one chaperone required for every 10 students; must be 21+)*Date of VisitFirst Choice* Date Format: MM slash DD slash YYYY Arrival Time* : HH MM AMPM Departure Time* : HH MM AMPM Second Choice* Date Format: MM slash DD slash YYYY Arrival Time* : HH MM AMPM Departure Time* : HH MM AMPM Third Choice* Date Format: MM slash DD slash YYYY Arrival Time* : HH MM AMPM Departure Time* : HH MM AMPM Programs of Interest (Choose one or more)Groups with a minimum of 5 and a maximum of 10 visitors can choose up to three programs ($30, $60, or $90). Groups of 11 - 20 visitors must book at least two programs ($120 or $180). Groups of 21 -30 visitors must book three programs ($270). Groups must pay in advance – We can only accept one payment per group. When visiting for school programming ALL VISITORS pay a discounted admission rate of $10. This includes students and all adults visiting the museums. Admission is valid for the entire day, and groups may continue to visit the five museums after the formal field trip concludes.Art Start with Art (Ages 4-6) Eye Spy (Grades 1-2) Evolving Elements in Art (Grades 3-5) A Brush with Art (Grades 4-8) Art through the Ages (Grades 9-12)Social Studies & History Seuss in Springfield History (Grades 2-4) Native Americans (Grades 1-5) Then & Now: Life at the Turn of the Century (Grades 2-4) Japan (Grades 2-6) Picturing America (Grades 3-5) History Detectives (Grades 5-8) City of Industry (Grades 6-12)Physical Science Pop, Fizz, Boom! (Grades 2-4) Light and Sound (Grades 1-5) Charge It! (Grades 4-5)Life Science Highlights Tour (Grades K-12) Just Survive! (Grades 2-5) Scutes & Scales (Grades PreK-4) Dinosaur Discovery (Grades PreK-4)Earth & Space Science Earth Rocks! (Grades 3-6)The Amazing World of Dr. Seuss Cats, Hats and Balancing Acts (Grades PreK-K) Tons of Fun with Seuss (Grades 1-2) Seuss in Springfield History (Grades 2-4) Family Tree: Seuss and Me (Grades 3-5)Special Exhibitions (additional fees may apply) Hall of Heroes (Through January 3, 2021) Voices of Resilience: The Intersection of Women on the Move (Through January 3, 2021) The Outwin: American Portraiture Today (October 3, 2020-April 4, 2021)Additional InformationWill your group bring lunches to eat at the Springfield Museums?YesNoWould you like to be contacted by our Blake House Cafe manager regarding boxed lunches?YesNoHow 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?What topics are you studying and how do they pertain to the programs and tours you have chosen for your field trip?*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?YesNoHow 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).*AgreeDeclineSend me further informationThe 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.