For Educators » Sce:dagĭ Mu:val Va’aki Field Trip

Sce:dagĭ Mu:val Va’aki Field Trip Request

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Please correct the fields below:

Field Trip Option:
 *
School or Group Name:
 *
Contact Name:
 *
Contact Address
 *
Contact Address
Email:
 *
Contact Phone:
 *
Additional Phone:

Date of Requested Visit  (mm/dd/yyyy)

Please remember that the Museum is closed on Mondays.

 *
Date of Requested Visit (mm/dd/yyyy) Please remember that the Museum is closed on Mondays.
Total Number of Children:
 *
Approximate Number of Adults in Group:
 *
Grade or Age Level:
 *
What type of youth organization are you representing?
 *
What type of youth organization are you representing?
Is your private group considered special needs – non-profit? (school groups leave blank)
 *
Is your private group considered special needs – non-profit? (school groups leave blank)
Apply for Title l Grant Funded Discount? (subject to availability and verification)
 *
Apply for Title l Grant Funded Discount? (subject to availability and verification)
Do any members of your group require special accommodations?
 *
Do any members of your group require special accommodations?
If answered YES to the above please explain here. 
Do you have any questions about scheduling or for our Museum Educators?
  1. To receive a copy of your submission, please fill out your email address below and submit.

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