Field Trip Sat/Sun – Children's Museum of Brownsville

Walk In / Saturday Academy Field Trip Request Form

All Grade levels requesting a field trip on Saturday, who will be walking in or visiting the museum on a Saturday morning.

School Name:(Required)

School Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

School Phone:(Required)

Fax Number:(Required)

Contact Name(Required)

First Last

Position:(Required)

Principal

Counselor

Teacher

Secretary

Other

Alternate / Cell Phone(Required)

Email(Required)

Date Requested:(Required)

Please enter the date you would like to visit the museum.

Day of the Week(Required)

Saturday

Grade Level (Select an Option)(Required)

Number of Classes (Select an Option)(Required)

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)

10:00 am - 11:30 am

Please read and acknowledge the Children's Museum of Brownsville terms.

Please Note:

Acknowledgements:

Reminder

Payment Requirements: