Teachers Name: *

First Name

Last Name

Teacher Phone Number *

(###)

###

####

Select the field trip(s) you are interested in:

Young Colonials (Grades 3rd-8th)

STEAM Trunk (Grades 4th+)

Rebels and Redcoats (Grades 3rd-8th)

Pirates, Patriots, and Powder (3rd-8th)

Colonial Quest: Exploring The Colonial and Revolutionary City (Grades 3rd-8th)

A La Carte

Preferred Date of Field Trip *

MM

DD

YYYY

Preferred Time of Field Trip

Hour

Minute

Second

AM PM