Funk Heritage Center School Field Trip Form

School & Contact Information
School Name
School Contact Name
First Last
Contact Email
Contact Mobile Phone
School Phone Number
School Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Trip Details
Student Grade Level
Number of Classes
Number Of Students
Number of Teachers
Number of Parents/Chaperones
Tour Date (first choice)
MM slash DD slash YYYY
Tour Date (second choice)
MM slash DD slash YYYY
Tour Date (third choice)
MM slash DD slash YYYY
Tour Time
Tour Type:
- Museum Only Tour: $7/student, $10/parent or chaperone
- Museum & History Alive: $12/student, $15/parent or chaperone
Teacher admission is free with a valid school ID.
Do you need to reserve a space for lunch?
- Yes
- No
Extra Information
Would you like to reserve the picnic area for your group?
- Yes
- No
Has your school ever been to Funk Heritage Center?
How did you hear about our field trip programs?
Do your students require any special accomodations?
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School & Contact Information