Youth 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 email@example.com. Group informationOrganization or group name * RequiredContact name * RequiredPhone * RequiredDay-of-visit phone * RequiredEmail * Required Contact preferenceEmailWork phoneHome phoneType of group * RequiredPlease tell us more about your group, grade levels, age ranges of the youth, etc.Number of youth * RequiredNumber of adults * RequiredSpecial Accommodations * RequiredPlease describe any special accommodations needed for group members.Other notesField trip informationField trip topics * RequiredSeasonal Observations (all ages)Ecosystem Studies (all ages)Effigy Mounds and Land History (grade 3 and up)Our Changing Ecosystems (middle school and up)Your Choice (all ages)Your choice * RequiredProvide detailed information about topics you want covered, outdoor-related badge requirements, or special interests of your group. Additional fees may apply for customized programs. Your Choice field trips can be scheduled at any time of year.Field trip length * Required1 hour (only available for Seasonal Observations topic)1.5 hours (any tour topic)2 hours (any tour topic)Requested date - must be mm/dd/yyyy format * Required Date Format: MM slash DD slash YYYY 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.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 EmailThis field is for validation purposes and should be left unchanged.