Field Trip Request Form

Please note: Teachers are invited to visit the Mound House prior to your school visit and receive free admission with school ID during museum hours.

The staff and volunteers at the Mound House look forward to your visit!

School Information
Name of School*
Grade Level(s) Attending*
Address of School*
Street Address Address Line 2 City State ZIP Code
School Phone Number*
Lead Teacher / Organizer Information
Name*
First Last
Position*
Cell Phone Number
Email*
Will you be in attendance for the field trip?*
Name
First Last
please provide the name and contact information of a teacher or chaperone who will be in attendance:
Name
First Last
please provide the name and contact information of a teacher or chaperone who will be in attendance:
Name
First Last
please provide the name and contact information of a teacher or chaperone who will be in attendance:
Name
First Last
please provide the name and contact information of a teacher or chaperone who will be in attendance:
Name
First Last
please provide the name and contact information of a teacher or chaperone who will be in attendance:
Name
First Last
please provide the name and contact information of a teacher or chaperone who will be in attendance:
Cell Phone #
Email
Estimated Attendance
# Students*
# Teachers / School Staff*
# Other Chaperones*
Preferred Dates
Note: Field trip programs must be scheduled on days that we are open for programming – usually Tuesday – Saturday, 9am – 4am
1st Choice*
MM slash DD slash YYYY
2nd Choice*
MM slash DD slash YYYY
3rd Choice*
MM slash DD slash YYYY
Preferred Time of Arrival*
Time of Departure*
Choose only 2 activities from our list of field trip programs*
- Calusa Tools
- Calusa Masks
- Archaeology
- Rancho Life
- Boom and Bust
Click here for trip program.
Any special accommodation requests?
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Field Trip Request Form

Field Trip Request Form

School Information

Lead Teacher / Organizer Information

Estimated Attendance

Preferred Dates

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