Scheduling Worksheet

Use this online form to request a time for a Discovery Fun, Curiosity Class, Tropical Connections, or Natural History Investigations student program.

The Museum's Scheduling Coordinator will contact teachers within 48 hours to confirm the availability of the requested class and to complete the scheduling process.

* Required Fields marked with an asterisk

Name of group leader or teacher in charge:	*
email:	*
Work phone:	*
Home phone:	*
Fax:
Name of School:	*
Type of School:	Public Private Charter Home school Other
	If other:
School Address:	*
City:	*
State:	*
Zip:	*
County:	*
Grade level(s) of students:	*
Number of classes:	*
Number of students per class:	*
Number of adult chaperones per class:	*
Do you have students with special needs?	If so, please elaborate:

Select your program topic below. Please see class descriptions for specifics on eligible ages and dates offered.

Discovery Fun Programs 3-year-olds - Grade 1	Curiosity Class K - Grade 5	Tropical Connections Grades 5 - 7	Natural History Investigations Grades 5 - 12

Date requested: 1st Choice:	*
2nd Choice:	*
3rd Choice:	*
Expected Arrival Time:	*
Expected Departure Time:	*
Additional information, questions, or comments:

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