Northeast Texas Children's MuseumField Trip Request Form School Name * Teacher Contact Name * Contact Email * Contact Phone Number * (###) ### #### Grade(s) * Number of Classes * Number of Students * Number of Staff * Please list three potential dates for your field trip * Preferred Time: * 9:30-11:30 12:00-2:00 Do you want to add lessons to your field trip? * For five classes or less Yes No Do you want to add MultiBall to your field trip? * Yes No Do you want to add a lunch space to your field trip? Thank you! Sharline will contact you as soon as possible.
