Field Trip Request Form

* denotes required field.

First Name * Required
Last Name
Comments

Contact Person

Contact Name *
Contact Title *
Contact Email *
Contact Phone *
What are the best days/times for us to contact you? *

School/Organization Information

School/Organization Name *
School District/County
Phone *
Billing Address *
Number of Students *
Grade Level

Program Reservation Options

Check the box next to the program(s) you are interested in. Use the text field below each program to enter any specific programs.

Note: Educational Programs are not available June through mid-August.


Choose from Energy, Fossils, Egypt, or Ocean



* Three activities - $8 per person (teachers are free)
* Four activities - $9.50 per person (teachers are free)
* MOAS Membership benefits for children and adults, such as free admission, are not valid for field trip payment.
** See website for specifics regarding gallery tours and hands-on classes

Will you be eating lunch in our outdoor sculpture garden? *

Program Date(s)

First Date Choice *
Second Date Choice *
Third Date Choice *

* If there is a conflict with any of the three dates requested, we will try to accommodate your group with an alternative date.

Please include any additional information we may need to know
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