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 *

Confirmation Email

School Address *

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

1. Click here to choose your visit date
My class will visit on... *

- Month - Day Year
Date
Alternative date: *

- Month - Day Year
Group Sales will check availability if your preferred date is not available.

Noble Planetarium Options
Requested planetarium show. *
Theater only seats 80 guest. Please select more than one time frame if your group is larger than 80.
Planetarium Times *

10:00 a.m. 11:00 a.m. 12:00 p.m. 1:00 p.m.

3. Click here to tell us more about your group
One free adult is granted for every ten students.*

The ratio of free adult to students increases to 1:6 for PreK-Kindergarten 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.
Total number of students *
Availability for additional film tickets is not guaranteed.
Number of Teachers and Parents *
Availability for additional film tickets is not guaranteed.
Student grade Level *
Students with special needs? *
Ratio for free tickets
Number of free teacher/parent tickets

4. Click here for food options
To secure rates, lunch and concession orders must be ordered 2 weeks in advance of your scheduled fieldtrip date. Lunch orders cannot be canceled within 5 business days of your visit. No refunds will be processed for excess orders. Separate payment from Fieldtrip admission is required.
Our group will... *

Order food now and pick up when we arrive! Purchase lunch when we arrive. *Please note that the $3.50 lunch rate 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.
Our Group would like to Order From: *

Stars Café Reel Refreshment
Provide Pick up time:
Time may be delayed if there is a previously scheduled pick up.

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

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