Field Trip Request Form

Contact Information

Name

School Name

School Address

City State ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYZip Code

School Phone Number Cell Phone

Email

Field Trip Date and Time

School field trips are not available on Saturdays, Sundays, Mondays, and university holidays. Availability for large groups may also be limited during finals week.

Preferred Visit Date(s)

Alternate Visit Date(s)

Arrival Time Departure Time

Type of Tour Requested—Please choose an option—GuidedSelf-guided

Group Information

One adult will be admitted to the museum free of charge for every eight students in grades K-12. Any additional adults will be charged the regular admission rate.

Number of Students

Grade Level(s)

Number of Adults

Additional Questions or Comments

Completing this form requests a field trip, but does not confirm your group’s visit. We will reply to your request within two business days. If you do not receive a confirmation after two business days, please follow-up with us, at museum@georgiasouthern.edu or 912-478-5444

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