School Visit Interest Form

For Trips to the Children's Museum
Please complete the below information and our reservations staff will get back to you:

* = Required Field

Name of School *

Address: *

Title One *
Yes No Maybe 

Contact Person:

Name: *

Phone Number: *

Grade: *

Email: *

Number of Classes Coming: *
1 2 3 4 5 6 more 

Number of Children per Class or Group: *
(Cannot be more than 30 children for an exhibit visit.)

Types of Visit:
 A. Museum Go-Round B. Exhibit + Focused Activity C. Workshop: Art or Science Immersions

A. Museum Go-Round (Choose:)
Block Harbor, Ladder 11, and House About It (pre-K, Kindergarten and 1st Grade only) Bugs and Other Insects, Great Explorations, and Big Games (2nd – 5th Grade only) 

Time of Visit:
 10 a.m. to 11:15 a.m. 11:30 a.m. to 12:45 p .m. 1 p.m. to 2:15 p.m.

Preferred date:

B. Exhibit + Focused Activity (Choose:)
Bugs and Other Insects Great Explorations 

Time of Visit :
 10 a.m. to 11:15 a.m. 11:30 a.m. to 12:45 p .m.

Preferred date:

C. Workshop
Art Immersion (Choose:)

Paint Like...:
Eric Carle (pre-K – 1st Grade only) Matisse, Pollack, Picasso, Van Gogh (1st – 5th Grade) Monet (2nd – 5th Grade ) Chagall (4th -5th Grade) 
Native American Jewelry Making:
Iroquois Jewelry Making (1st – 5th Grade) 
Mask Making:
African (Dan culture) Mask Making (2nd – 5th Grade) Jade (Mayan) Mask Making (3rd – 5th Grade) 
Bookmaking (2nd – 5th Grade) Shadow Puppet Making (3rd – 5th Grade) 

Science Immersion (Choose One:)
Water, Water Everywhere 

Time of Visit:
 10 a.m. to 11:30 a.m. 10:30 a.m. to 12:00 p .m.

Preferred date:

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