Field Trip Request Form - Maryland Science Center

Field Trip Request Form

All reservations must be submitted at least 4 weeks in advance

Please select one In-State Maryland School

Is your school

PublicPrivate

Name of School

Address of School

City

County (required for all Maryland School Groups)

School Phone Number

Teacher in Charge

Out of State School Title One

State Fax Email

Select three dates 1st Choice /

/

2nd Choice /

/

Arrival Time (please note, 10am is the earliest arrival time available)

Grade Level of Students

Zip Other

3rd Choice / /

EXHIBIT ADMISSION

Approximate Number of Students

Costs for Maryland Schools Students: FREE Teachers: FREE Chaperones: FREE

Teachers

Chaperones

Costs for Out of State Schools Students: $8.50 Teachers: FREE Chaperones: $5.00

Would you like to see a/an Davis Planetarium Show

IMAX Show (an additional $7.50 per person)

Is there a specific show you would like?

(Please check our Opportunities Guide for show schedules. Click here to view the guide online.)

Time

Would you like to schedule an Enrichment Program?

Enrichment Experience Observatory (an additional $7.50 per student)

Enrichment Title

(Please check our Opportunities Guide for show schedules. Click here to view the guide online.)

Time

Would you like to visit the Kids Room? (an additional $2 per student)

Entry Time

Please submit this form by saving this filled out PDF document and emailing it to fieldtrips@ or click the SUBMIT

button to the right to submit this form via Outlook.

SUBMIT

Please note: This is not a reservation! A reservation confirmation will be generated using this form.

The Maryland Science Center at Baltimore's Inner Harbor ? 601 Light Street Baltimore MD 21230 ? 410.545.5929 ?

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