School Group Field Trip Request Form Please complete this form at least two weeks prior to your desired dates. If needed, we will contact you about any questions, clarifications, or special needs. Once we schedule your trip we will confirm by email. Please review the field trip offerings and pricing grid before filling out the form. If you have any questions, please email firstname.lastname@example.org. Group informationOrganization name * RequiredContact name * RequiredPhone * RequiredDay-of-visit phone * RequiredEmail * Required Contact preferenceEmailWork phoneHome phoneGrade level * RequiredNumber of youth * RequiredNumber of adults * RequiredSpecial Accommodations * RequiredPlease describe any special accommodations needed for group members.Other notesField trip informationField trip topic * RequiredPreschool: Seasonal ObservationsPreschool: Ecosystem StudiesK–2: Seasonal ObservationsK–2: Ecosystem Studies3–5: Seasonal Observations3–5: Ecosystem Studies3–5: Effigy Mounds and Land HistoryMiddle school: Effigy Mounds and Land HistoryMiddle school: Our Changing EcosystemsMiddle school: Our Changing Ecosystems + Work PartyHigh school: Our Changing EcosystemsHigh school: Our Changing Ecosystems + Work PartyYour choiceYour Choice descriptionPlease provide detailed information about the field trip and topic you would like for your visit. Please note that additional fees may apply for customized programs. Field trip length * Required1 hour (preschool and kindergarten only)1.5 hours (preschool through grade 12)2 hours (grades 3–12 only)4 hours (grades 6–12 only, with work party)Requested date - must be mm/dd/yyyy format * Required Date Format: MM slash DD slash YYYY Requested start time * Required : HH MM AM/PM AM PM Bad weather preference * RequiredPlease let us know what you would like to do about your visit in the case of bad weather. Due to building capacity, if your group has more than 60 students you must reschedule.Indoor activitiesRescheduleCancelAlternate date - must be mm/dd/yyyy format Date Format: MM slash DD slash YYYY Alternate date start time : HH MM AM/PM AM PM NameThis field is for validation purposes and should be left unchanged.