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)

2nd Choice Date/Time (required)

3rd Choice Date/Time (required)


FIELD TRIP EXPERIENCE AREAS

EXPERIMENT BAR: A Lab staff member leads students in an experiment of your choosing:

TINKER SHOP: A Lab Staff member leads students in an engineering challenge of your choosing:

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.