Home » Explore » Education » Programs » Field Trips » Field Trip Reservations » FIELD TRIP RESERVATION FORMCONTACT INFORMATIONSchool Name:Contact NameAddress* 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 County*Phone*Cell NumberPrimary Email*Secondary Email*PROGRAM PARTICIPANTSGrade*Grade*Choose your grade level.K12345678High SchoolCollegeMixed GradesNumber of students*Minimum of 15 students required.Approximate number of teachers*Approximate number of parents/chaperones*One FREE with every 10 students. Additional parents and chaperones – $20 each YOUR PROGRAMMy preferred program is:* Please view “Programs By Grade” or “Programs by Gallery” and then choose a grade appropriate field trip program and complete the field below. Ex: FossiliferousSTART TIMES* 10 AM - Arrive at 9:30 AM for check-in 10:30 AM - Arrive at 10 AM for check-in PLANETARIUM ADD-ONWould you like to add a planetarium show? Please note that all programs in the Millar Science in Motion Gallery include a planetarium show. By selecting "Yes", you are choosing to add an additional show. Yes, I would like to add a 1 PM planetarium show. Yes, I would like to add a 1:45 PM planetarium show. No, I do not want to add a planetarium show. DATE PREFERANCEFirst Choice MM slash DD slash YYYY Second Choice MM slash DD slash YYYY Third Choice MM slash DD slash YYYY This field is hidden when viewing the formDeposit I have read about and agree with the deposit and payment policy.Additional CommentsFor more information contact Central Scheduling by calling 770-606-5699 or email at scheduling@tellusmuseum.org Δ E-NEWS SIGN UP Enter Email Address: Be secure. Your privacy is protected by SafeSubscribe(SM) by Constant Contact®. Facebook-f Instagram Twitter Youtube