Please enable JavaScript in your browser to complete this form.Today's Date *Enter today's date (e.g. July 18, 2020)Contact Name *FirstLastContact Phone (include area code) *Contact Email *EmailConfirm EmailSchool Name *If you are part of a homeschool group or other type of organized group, please complete this section with contact's address.School District *If not in a school district, please write N/ASchool Address *Street addressSchool Address (Line 2)School City *School State *School Zip Code *School Phone (include area code) *Grade Level(s) *Non-school groups, please write N/ANumber of students *Number of teachers *Number of chaperones *Type of Program *Virtual Field TripOnsite School ProgramDue to COVID-19, we are currently offering virtual field trips only. Programs offered will run from October 2020-June 2021Program Name (select one) *Adobe DaysHistory DetectivesWestward Ho!Valley of Heart's DelightEarly to RiseOne-Room SchoolhouseImmigration (starting 02/16/2021)Victorian Days (starting 02/16/2021)First choice date *Enter as MM/DD/YYYYFirst choice time *Use Pacific Standard/Daylight TimeSecond choice date *Enter as MM/DD/YYYYSecond choice time *Use Pacific Standard/Daylight TimeThird choice date *Enter as MM/DD/YYYYThird choice time *Use Pacific Standard/Daylight TimeTransportation means *For virtual field trips, indicate ZoomEducational Goal *What curriculum standard are you trying to meet or what is the major take away that you want for your group?NotesIndicate other relevant information not addressed elsewhere in the form such as accessibility needs.WebsiteSubmit