Field Trip Request Form

PRIMARY CONTACT INFORMATION

Name *

First

Last

Phone Number (preferably cell phone) *

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Email Address *

SCHOOL/GROUP INFORMATION

School/Organization Name *

Address *

Street Address

Street Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

School District: *

Title I School *

Note: Title 1 verification required before booking.

VISITOR INFORMATION

Number of Students (minimum of 10) *

Grade Level(s) *

Number of Adults (We require one adult for every 10 students) *

Type of Class (U.S. History, Science, etc.)

VISIT DETAILS

Date *

YYYY

Arrival Time: *

Departure Time: *

Date (Second Choice) *

YYYY

Arrival Time: *

Departure Time: *

Add-On Student Workshops (optional):

Please check all that apply:

Minute by Minute: The Role of Intelligence in the Cuban Missile Crisis (grades 7-12, 75 minutes)

Operation Code Cracker (grades 5-7, 60 minutes)

The Spy's Eye View (grades 6-12, 30 minutes)

Spy Science (grades 6-12, 45 minutes)

Operation Spy: Student Adventure (grades 7-12, 90 minutes)

Lunch at the museum? *

Lunch may only be arranged for groups that purchase an on-site Student Workshop and according to space availability. These lunches must be disposable and carried up to the classroom by the group. We are unable to refrigerate items.

SPECIAL NEEDS/REQUESTS

Please let us know if your group requires any special arrangements.

CONFIRMATION: Please note this is not a confirmed reservation. You will be contacted within 48 hours by a member of the group sales team to confirm your booking. You can also call 202.654.0943 to follow up with your request.

Security Code *

Please enter the security code below.