Field Trip Request Form: PK - 2nd Grade
Grades PK - 2nd Grade
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School Info
School Name:
(Required)
School Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
School Phone:
(Required)
Fax Number:
(Required)
Teacher Contact
Contact Name
(Required)
First
Last
Position:
(Required)
Principal
Counselor
Teacher
Secretary
Other
Alternate / Cell Phone
(Required)
Email
(Required)
Quote Info
Date Requested:
(Required)
MM slash DD slash YYYY
Please enter the date you would like to visit the museum.
Day of the Week
(Required)
Tuesday
Wednesday
Thursday
Friday
Grade Level (Select an Option)
(Required)
Pre K
Kinder
First
Second
Special Needs
Number of Classes (Select an Option)
(Required)
1
2
3
4
5
6+
Number of Students
(Required)
Please enter a number from
1
to
200
.
Please enter the number of students that will be visiting the museum.
Number of Teachers
(Required)
Please enter a number from
1
to
30
.
Please enter the number of Teachers/Staff that will be visiting the museum.
Requested Time Slot:
(Required)
9:00 am - 10:30 am
10:45 am - 12:15 pm
12:30 pm - 2:00 pm
Terms and Conditions:
Please read and acknowledge the Children's Museum of Brownsville terms.
Please Note:
*Available activities will be at the discretion of the museum based on available supplies, seasons and number of students.
*The activities will take place in available spaces in the museum.
Acknowledgements:
*Arriving / Leaving times are very important.
*Know that if you arrive late, your field trip may not be extended past your scheduled time.
*This request form does NOT guarantee the date / field trip requested.
* The person that submits this form will receive an invoice via email from CMB as the final confirmation.
*In cases of cancellation, 30 days prior notice from the date scheduled is required in order to received a full refund.
*Absolutely NO REFUNDS on payments made over the amount of field trip cost and NO CREDIT given for children who do not attend the field trip, but who were originally reserved prior to visit.
*Chaperones are not included on the invoice; the chaperone entrance fee is $11.
*Chaperones' pay upon arrival.
Terms and limitations/conditions apply.
To cancel a trip, please email: lucy@cmofbrownsville.com
Reminder
*We have a wonderful Sunny's Toy Shop available inside the museum; please inform parents and students that we provide fun, educational, and interactive toys, souvenirs, and apparel for all ages to purchase.
*The recommended average purchase is $5 - $15 per child.
Payment Requirements:
*A Deposit of 1/2 of the invoiced amount or a purchase order must be submitted 30 days prior to field trip to reserve the date.
* Price $11.00 per person (students/teachers/chaperones) with a minimum of 30 or more students.
*If less than 30 students/guests, price will be general admission rate per person.
*Please email the request form and/or purchase order to: lucy@cmofbrownsville.com
Consent
(Required)
By checking the box off, I agree to the terms and conditions of the Children's Museum of Brownsville.
Field Trip Request
(Required)
This request form does NOT guarantee the date / field trip requested. The person that submits this form will receive an invoice via email from CMB as the final confirmation