Plan a Field Trip Field Trip Request Form Please allow two weeks of planning. Group rates are for 5 or more students. Field Trips are available Monday-Friday, 9am-4pm. SUBMITTING THIS FORM IS NOT A CONFIRMATION. We will contact you to confirm. Contact education@gorgediscovery.org or 541-296-8600 ext. 209 with questions. Full Name*School Phone Number*Your Contact/Cell Number*Your Email* What is the best time of day and number to contact you?*School Name*School District*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Type of education visit?* Museum Only - $3.00 per student/chaperone Museum and Education Program Combo ($5.00) Private Raptor Presentation at Museum ($150.00) Private Raptor Presentation off-site ($200.00) Not sure, would like to discuss more Date (1st Choice)* Date Format: MM slash DD slash YYYY Date (2nd Choice)* Date Format: MM slash DD slash YYYY What grade levels will be in your group?*Example: 4th and 5th graders.Estimated number of students*Estimated number of chaperones*One chaperone per every 10 students is required.What county is your school in?* Wasco, OR Hood River, OR Multnomah, OR Clackamas, OR Klickitat, WA Skamania, WA Clark, WA Other If other, what county is your school in?Any other comments or questions?
