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Please DO NOT submit this form unless you are ready to register. Once forms are received, the Museum will contact you within 10 business days either to confirm or modify your reservation.
Have you read our FIELD TRIP GUIDELINES and/or our OFF-SITE PROGRAM GUIDELINES? Click on either one to download them in Adobe PDF format!
Please complete the following form with as much detail as possible. Fields with an asterisk (*) are required for submission.
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| Contact Information: |
| Group Name:* |
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| Contact Name:* |
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| Additional Teachers: |
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| Contact Telephone:* |
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| Mailing Address:* |
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| City:* |
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| State:* |
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| Zip Code:* |
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| County:* |
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| Email Address:* |
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| Group Information: |
| # of Students:* |
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| # of teachers* |
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| # of Chaperones: |
(1:5 chaperone/student ratio required for all field trips.
Discovery classes at your location do not require chaperones.) |
| Student Grade Level:* |
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What kind of program are you requesting?
NOTE: You must select one of the following options! |
Discovery Class at the Museum
Discovery Class at Your Location
Self-Guided Museum Field Trip (no educational programming) |
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Educational Programs: Check all that apply
(Read more about these programs on the appropriate pages of this website for more details) |
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Discovery Classes:
Creepy Crawlies
Digestion Detectives
Desert Dwellers
Awesome Animals
Traveling the Trail
High Desert Habitats
Living off the Land
Rockin' Geology
Strong Medicine |
Museum 'Alive!':
Birds of Prey
Reptiles
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'Fired Up About Oregon's Forests' has its own registration form!
Please visit the Registration Page |
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| How do you plan to pay for your program(s)? |
Check
Credit Card (We will contact you for this information)
PO
Cash
Other (explain in comment section below)
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| When do you plan to pay for your program(s)? |
In advance; please bill me
On the day of the program(s)
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| Date/Time Requests: |
| Please indicate your 1st, 2nd and 3rd choices for the date and time of your program. |
| Date: |
(MM/DD/YY) |
| Choice 1 |
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| Choice 2 |
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Choice 3
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Arrival Time:
(for Museum Field Trips only) |
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| Departure Time: |
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Program Time: |
| Choice 1 |
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| Choice 2 |
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| Choice 3 |
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| Additional Information: |
Do you want to rent a Museum classroom ($20 per hour) for your school to eat lunch?
Yes - # of hours:
No
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| How did you hear about our education programs (check all that apply)? |
School Programs Brochure
Browsing Website
Heard from a friend/colleague
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Previous Educational Visit
Museum came to your school
Other:
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Please explain, in detail, any special requests or concerns you have regarding your registration:
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| Please remember, once you submit this form and your registration is confirmed, changes or cancellations are subject to administrative fees. |
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