Request Summer Field Trip Children’s Science Center LAB Summer Field Trips are offered from June 10 to August 23, 2019. 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) Contact Person 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 (Maximum of thirty (30). For larger groups, please request two or more dates or time slots. Contact Us to discuss options.) Grade Level for Children in Group (required) Number of Teachers (required) Number of Chaperones (Minimum of three (3) are 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) 10:00am12:00pm2:30pm 2nd Choice Date/Time (required) 10:00am12:002:30pm 3rd Choice Date/Time (required) 10:00am12:00pm2:30pm Note: Your Field Trip request is not confirmed until your deposit is received.