Name: Lowrance Reporting Service, Inc.
Address: 100 Tellus Drive, Cartersville, GA, 30120, US
Telephone: 770-606-5700
Price range: -

VIRTUAL FIELD TRIPS RESERVATION FORM
This form is only valid for the 2022-2023 school year.
CONTACT INFORMATION
School Name:
Contact Name
School Mailing Address*
Street Address Address Line 2 City State ZIP Code
Hidden
School Mailing Address*
County
School Phone*
Contact Person's Cell Number
Contact Person's Email Address*
PROGRAM PARTICIPANTS
Grade*
Number of teachers*
Number of classes requesting a connection.*
Number of students (max of 30).*
Connection Type*
YOUR PROGRAM
Please view “Programs by Gallery” or “Programs by Grade”.

Choose one gallery and then one program in that gallery. The program must be grade appropriate.
Program Name*
DATE PREFERENCE
*Please note, we are only taking reservations for the 2021-22 school year. Program start times are 9 AM or 1 PM.
First Choice Date
MM slash DD slash YYYY
First Choice Time
- 9 AM
- 1 PM
Second Choice Date
MM slash DD slash YYYY
Second Choice Time
- 9 AM
- 1 PM
Preferred Connection Platform*
- Zoom
- Google Meet
- Microsoft Teams
Additional Comments
CANCELLATION POLICY*
I understand that Tellus Science Museum reserves the right to cancel my field trip without notice should the museum close unexpectedly.

I also understand I must cancel two weeks prior to my scheduled date for a full refund.
I understand the cancellation policy.
For content or scheduling questions, please email scheduling@tellusmuseum.org

VIRTUAL FIELD TRIPS RESERVATION FORM

CONTACT INFORMATION