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Field Trip Reservation
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Field Trip Reservation
Field Trip Reservation
bhm
2021-08-06T14:18:32-04:00
Field Trip Reservation Form
School Name
(Required)
Contact Name
(Required)
Contact Email
(Required)
Contact Cell Phone
(Required)
School Phone
(Required)
School Address
(Required)
City
(Required)
State
(Required)
Zip Code
(Required)
County
(Required)
Student Grade Level
(Required)
Number of Students
(Required)
Number of Teachers
(Required)
Approximate number of Parents/Chaperones
(Required)
Number of Classes
(Required)
Date (First Choice)
(Required)
MM slash DD slash YYYY
Date (Second Choice)
(Required)
MM slash DD slash YYYY
Date (Third Choice)
(Required)
MM slash DD slash YYYY
Tour Program:
(Required)
Hello Mr. Conductor! - Grades Pre-K - K
Map Happenings - Grade 1
Great War / Great Depression - Grade 5
Homefront, Battlefront - Grade 5
The Pathway to Civil Rights - Grade 5
Exploring the Archives - Grades 6 - 12
The Pathway to Civil Rights - Grade 5
Unless noted in the program guide, each program is approximately 2 hours in length.
Request a Tour Time
(Required)
Hours
:
Minutes
AM
PM
AM/PM
Has your school or grade level ever taken a field trip to the Bartow History Museum?
(Required)
Yes
No
How did you hear about our field trip programs?
(Required)
Additional Notes
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