Home » Explore » Education » Programs » Field Trips » Field Trip Reservations » FIELD TRIP RESERVATION FORMCONTACT INFORMATIONSchool Name: Contact Name Address* 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 Number Primary 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 PREFERENCEFirst Choice MM slash DD slash YYYY Second Choice MM slash DD slash YYYY Third Choice MM slash DD slash YYYY Deposit 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