Home » Virtual Field Trips Reservations » VIRTUAL FIELD TRIPS RESERVATION FORMCONTACT INFORMATIONSchool Name: Contact Name School Mailing 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 HiddenSchool Mailing Address*County School Phone* Contact Person's Cell Number Contact Person's Email Address* PROGRAM PARTICIPANTSGrade*Grade*Choose your grade level.K12345678High SchoolCollegeMixed GradesNumber of teachers* Number of classes requesting a connection.* Number of students (max of 30).* Connection Type*Connection Type*Choose your connectionAt Home LearningOnsite ClassHybridYOUR 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*Choose your programExploring the Solar System: 4th or 6th gradeFossiliferous: 3rd gradeIt's Alive: KindergartenKey to Fossils: 5th, 7th, or High School gradeLet's Rock and Roll: 3rd gradeMagnet Mania: 1st gradeMineral Testing: 3rd gradeStars and Constellations: 2nd gradeDATE PREFERENCE*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 CommentsCANCELLATION 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 Δ E-NEWS SIGN UP Your email * Facebook-f Instagram Twitter Youtube