SCHEDULE A FIELD TRIP TO IRVINE

"*" indicates required fields

NAME OF SCHOOL OR ORGANIZATION
SCHOOL ADDRESS
SCHOOL LOCATION*
SCHOOL LEVEL*
TYPE OF SCHOOL*
IS YOUR SCHOOL TITLE 1?*
CONTACT NAME - First and Last
CONTACT EMAIL
CONTACT PHONE
GRADE LEVEL
Total # of Participants (max 40 students and 8 adults)
Number of Students
Number of Adults (the recommended ratio is 2 adults per 10 students)
FIELD TRIP THEME: Select One
What is your most important curriculum connection?
REQUESTED START TIME, IF DIFFERENT THAN 10AM. (Earliest start is 9:30AM)
1st Choice Date (greyed out dates not available) PLEASE NOTE: This is not a guarantee. Your field trip request will be reviewed and confirmed via email by our Education Program Coordinator.
Please list TWO additional backup dates.
Please list TWO additional backup dates.
TRANSPORTATION*
Will you be arriving by bus or in separate vehicles?
Special Needs/Accommodations