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 College Continued Education Program Number of Students*Number of Chaperones (one chaperone required for every 10 students; must be 21+)*Date of VisitField trips offered September through June only.First Choice* MM slash DD slash YYYY Arrival Time* : Hours Minutes AM PM AM/PM Departure Time* : Hours Minutes AM PM AM/PM Second Choice* MM slash DD slash YYYY Arrival Time* : Hours Minutes AM PM AM/PM Departure Time* : Hours Minutes AM PM AM/PM Third Choice* MM slash DD slash YYYY Arrival Time* : Hours Minutes AM PM AM/PM Departure Time* : Hours Minutes AM PM AM/PM Programs of Interest (Choose one or more)Art Start with Art (Ages 4-6) Eye Spy (Grades 1-2) Evolving Elements in Art (Grades 3-5) Art Discovery Center (Grade K-6) General and Specialty Highlights Tours (Grades 1 and up) Social Studies & History Then & Now: Life at the Turn of the Century (Grades 2-4) Japan (Grades 2-6) City of Industry (Grades 6-12) General and Specialty Highlights Tours (Grades 1 and up) Invention & Innovation Spark!Lab (Grades K-2) Building Blocks to Invention (Grades K-2) Technology & Engineering NASA Engineers (Grades 4-6) Physical Science Pop, Fizz, Boom! (Grades 2-4) Light and Sound (Grades 1-4) Charge It! (Grades 3-5) Forensic Science (Grades 5-6) Slime Time! (Grades 3-6) Life Science Highlights Tour (Grades K-12) Just Survive! (Grades 2-4) Scutes & Scales (Grades PreK-4) Dinosaur Discovery (Grades PreK-6) Planetarium Shows From Earth to the Universe (Grades 4 and up) The Sun Our Living Star (Grades 6 and up) Living Worlds (Grades 5 and up) Seeing! A Photon's Journey across space, time and mind (Grades 8 and up) Oceans in Space (Grades 2-4) One World, One Sky (Grades PreK-2) The Sky Through the Seasons (All Ages) Vincent's Starry Sky (Grades 6 and up) Our Cosmic Neighborhood (All Ages) Your Night Sky Live (All Ages) The Amazing World of Dr. Seuss Cats, Hats and Balancing Acts (Grades PreK-K) Tons of Fun with Seuss (Grades 1-2) Climate Change Adventures! (Grades 3-5) General and Specialty Highlights Tours (Grades 3+) Special Exhibitions (additional fees may apply)Available Exhibits Witch Panic! Massachusetts Before Salem (Through November 2, 2025) Math Alive! To the Extreme (January 17-May 3, 2026) Declaration of Innovation - Springfield's Revolutionary Ideas America's 250th (May 16-September 27, 2026) Game On! (May 16-September 13, 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?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? 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
