Request School Year Field Trip Organization and Contact Information School/Organization Name (required) School/Organization Street Address (required) City (required) State (required) Zip (required) Contact Person First Name (required) Contact Person Last Name (required) Telephone (required) Contact Person Email (required) Contact Attending Field Trip First Name (required) Contact Attending Field Trip Last Name (required) Field Trip Information Number of Children (required) Grade Level for Children in Group (required) Number of Teachers (required) Number of Chaperones (required) Please describe any special instructions/needs such as allergies, wheelchairs, or other accommodations needed FIELD TRIP REQUEST DATE/TIME 1st Choice Date/Time (required) 10:00am12:30pm4:00pm 2nd Choice Date/Time (required) 10:00am12:30pm4:00pm 3rd Choice Date/Time (required) 10:00am12:30pm4:00pm FIELD TRIP EXPERIENCE AREAS EXPERIMENT BAR: A Lab staff member leads students in an experiment of your choosing: Hidden Color ChemistryFloating RainbowMagnetic SlimeMystery PowdersSpectrophotometry TINKER SHOP: A Lab Staff member leads students in an engineering challenge of your choosing: ArtBotsDIY KaleidoscopeDesign a HovercraftSolar Ovens INSPIRATION HUB: Students explore this gallery and different activities relating to energy, chain reactions, and gears. Lab staff are available to engage and encourage students. LAB GARAGE: Students and chaperones are challenged to design and build the strongest, tallest or most unique structure using KEVA Planks. Lab staff communicate the challenge and then engage and encourage students as they work in groups. What science and engineering concepts would you like us to focus on based on the activities you have selected? Note: Your Field Trip request is not confirmed until your deposit is received.