Field Trip Request - Stuhr Museum : Stuhr Museum

School Information Form

Request a Structured Class

Step 1 of 3

SCHOOL INFORMATION

School Name(Required)

School Name

School Phone Number(Required)

Phone Number

School Address(Required)

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

County(Required)

County

School Type(Required)

Select Class (Public Schools Only)(Required)

Select Class (Public Schools Only)

Are you a Title 1 School? (Public Schools Only)(Required)

Are you a Title 1 School? (Public Schools Only)

PRIMARY CONTACT

Primary Contact Name(Required)

We ask that you list your school’s secretary or principal as the primary contact person for all classes. Contact information for the teachers will be collected with their class selection.

First Last

Title(Required)

Title

E-mail Address(Required)

E-mail Address

What type of field trip would you like to register for?(Required)

After selecting the type of field trip, click "Add" and fill out the fields in the form. You can request multiple registrations on the same form by repeating this step.

Structured Classes

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Self-Guided Exploration

School Name	Actions

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