School Tour Booking

Name of Contact Person

Phone Number of Contact Person

Email Address of Contact Person

School Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

County

School District (if applicable)

Grade of Group

Size of Group

Minimum 10 students. Maximum 80 students.

Number of Chaperones

Does anyone in your group require assistance for developmental disabilities?

Yes

No

Does anyone in your group require assistance for physical disabilities or mobility?

Yes

No

Which best describes your group?

Youth

Public School

Private School

Home School

Other

Are you a Title One School?

Yes

No

Are you personally leading this field trip?

Yes

No

Is this one of multiple requests you are sending for different groups of people?

Yes

No

I'm not sure

Phone number of field trip leader

Email address of field trip leader