Please note field trips and Museums on the Go! outreach visits require a minimum of two weeks advanced notice. Step 1 of 2 50% School InformationSchool Name*School Phone*Address* 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 Group CoordinatorName* First Last Email* Cell Phone*Group InformationGrade*PreschoolKindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeSixth GradeSeven GradeEighth GradeHigh SchoolNumber of Students* Date of VisitPrograms offered October through March.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 InterestSelect one or more* It's Electric (Grades 3-5) Us and Them: Discrimination During the Holocaust and Today (Grades 5-12) Digging Into Dinosaurs (Grades K-5) Galaxy on the Go (Portable Planetarium) Additional InformationSpecial Needs or 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? Δ
