Field Trip Registration Form - Virginia
School Name:
Group Leader:
School Address:
City: State: Zip Code:
Phone number: Email:
Grade Level:
Number of classes:
Number of Children: Number of School Staff:
Number of Parent Chaperones: Best time to contact teacher:
Type of School:
Public
☐ Private ☐ Homeschool ☐
Arrival Time: Departure Time:
Preferred Days in order
of preference:
1.
2. 3.
Program Choices in order
of preference:
1.
2. 3.
Additional Notes:
Lunch Plan Option I. Special Order Museum Lunch ☐
Option II. No lunch ☐
Option III. Need only space for lunch ☐
Museum Gift Shop Yes ☐
No
☐
Education Program:
We encourage you to explore our different educational programs by browsing our field trip information listed on our
website. To suit your needs, upon receiving your registration form, we will contact you and design a program for you
and your students. If you have any questions, feel free to contact us at 540-(‐332-(‐7850 or email Sarah Puckett at
By email:
By Fax: 540-(‐332-(‐9989
By Mail: Frontier Culture Museum of Virginia
Attn: Sarah Puckett
PO BOX 810
Staunton, VA. 24402
Reservation is not complete until receipt of confirmation notice.
Field Trip Registration Form
sarah.pu[email protected]
sarah[email protected]ermuseum.org
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Field Trip Registration Form - Virginia PDF
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