School Field Trip Request Form "*" indicates required fields School Name*Group Leader Contact Name* First Last Group Leader Email Address* Group Leader Phone Number*Accompanying Teacher's Email AddressAccompanying Teacher's Email AddressAccompanying Teacher's Email AddressSchool Phone Number*School Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Are you a Title 1 School?* Yes No School County*School DistrictSchool Field Trip Options* Guided: Standing Tall at Cheekwood: Tree Exploration Guided: Parts of a Plant: Learning in the Garden Guided: Traditions and Customs: Exploring Multiculturalism in the Blevins Japanese Garden Guided: Garden Ecosystems: Plants and their Pollinators American Art and American History | Grades 3-5 Guided: Standing Tall at Guided: Standing Tall at Cheekwood: Trees and Communication Guided: House & History: The Cheeks’ Changing World Self-Guided: Seasonal Self-Guided: Garden Ecosystems: Plants and their Pollinators Self-Guided: Animals and Ecosystems Self-Guided: Nature Poetry: Writing in the Garden Self-Guided: Art in Nature on the Carell Sculpture Trail Please select the field trip option you are interested in.Group SizePlease see description for current size requirements here.Number of Teachers and/or School Staff Attending Tour*Number of Students Attending Tour*Students’ Grade Level(s)*Number of Non-School Staff Chaperones Attending Tour*Adult chaperones who are non-school district employees (for example, parents of students) are welcome to join the field trip. Cheekwood now requires 1 adult per 10 students. This adult will enter for free along with the students and teachers. However, they will pay for parking. Additional chaperones can receive a discounted admission of $18/chaperone + parking if one payment is made ahead of your visit. More details regarding the chaperone attendance fee will be included in future communication. Select Preferred Tour Time and DateFirst Choice* MM slash DD slash YYYY Second Choice MM slash DD slash YYYY Third Choice MM slash DD slash YYYY Arrival Time*Departure Time*LogisticsThis field is hidden when viewing the formHow will your group be arriving to Cheekwood?* Bus Vans Car(s) How will your group be arriving to Cheekwood?* Bus Vans Car(s) How will your group be arriving to Cheekwood?How many buses?*How many vans?*How many cars?*Will your group be picnicking at Cheekwood* Yes No Note: Cheekwood offers several outdoor picnicking areas.Please check any and all of the following that apply to your students so we may best accommodate your group. One or some of my students have: Stinging insect allergies Wheelchairs Crutches Intellectual disabilities Behavior Problems Other Please briefly describe how we can accommodate your students with the needs listed above:Weather Policy*Field trips are weather permitting. This includes rain, snow, and extreme temperatures. Education staff will be in touch with scheduled schools at least 24 hours before a scheduled trip if a change is necessary. Field trips will be rescheduled as space permits. For weather concerns or cancellations, please email [email protected]. I have read and agree to the weather policy stated above Comments
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