2017-2018 School year field trip form

FORT WORTH MUSEUM OF SCIENCE AND HISTORY

Submit the following information and a Group Sales representative will contact you with confirmation of your field trip request. You may also contact our Group Sales department by calling 817-255-9440 or by emailing fieldtrips@fwmsh.org
School/Organization Name *
Primary Contact Person *

First Name Last Name
Phone Number *
E-mail *

School Address *

Title One *
For Developmental Purposes only. At this moment financial help is unavailable.

3. Click here to tell us more about your group
Total number of students *
Total number of teachers and parents *
Student grade Level *
Students with special needs? *
Ratio for free tickets
Number of free teacher/parent tickets
One free adult is included free for every ten students.*

The ratio of free teachers/parents to students increases to 1:6 for kindergarten or younger students.*

*Note: To receive a free chaperone, we require a minimum or 15 students. Free Adults cover school staff. Free adults will be adjusted accordingly to student attendance at check in.

4. Click here for food options
We are excited to offer $3.50 student lunches this year to our groups that reserve their lunches in advance! Please understand that in order to secure this rate, lunches must be ordered in advance and lunch orders cannot be modified or canceled within 5 business days of your visit.
Our group will... *

Order food now and pick up when we arrive! Purchase lunch when we arrive. *Please note that the $3.50 lunch deal is only available when meals are ordered in advance. Bring our own lunch and eat lunch outside in the grassy areas. We understand picnic tables are not provided Return to campus or have lunch at a different location.

$8.75 adult meals include chips, fruit, cookie and soda

	Adult peanut butter and jelly	Adult turkey and cheese	Adult hot dog
Select number of lunches needed

$2.50 Omni IMAX movie Popcorn Snack and Small Drink

	Small Water	Juice Box	Coke	Diet Coke	Dr. Pepper	Sprite
Select number of popcorn packs with

$3.50 Omni IMAX movie Hot Dog Snack and Small Drink

	Small Water Bottle	Juice Box	Coke	Diet Coke	Dr. Pepper	Sprite
Select number of hot dog packs with