In School Field Trip Registration

Please fill out this form to register for an in-classroom field trip experience! Note: Confirmed field trips will receive a full refund if cancelled more than 30 days in advance. Rescheduling options will be given to those who cancel closer to their field trip date. If you have any questions, please email programs@winnetkahistory.org

School Name *

School Address *

Address Line 1

City

State

Zip Code

Primary Contact (Onsite) *

Primary Contact Email *

Primary Contact Phone Number *

Name of Lead Staff (if different from above)

First

Last

Number of Teachers Attending *

At least one certified teacher is required to be present for each program.

Number of Children Attending *

Grade Level *

Second
Third
Fourth

Number of Classrooms *

Single Item

Price: $125.00

Per classroom

Please list your top choice for the date of your field trip: *

Please list your second choice for the date of your field trip: *

Please list your third choice for the date of your field trip: *

Please select a time for your field trip: *

10:00am-11:00 am
11:00am-12:00 pm
1:00pm-2:00 pm

Where will the field trip take place? (classroom, library etc.) *

Instructions for parking & entering school building: *

Special Requests/Additional Info