field trip inquiry

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field trip inquiry

Thank you for your interest in booking a field trip at the Miriam P. Brenner Children’s Museum! MBCM offers field trips at a discounted group rate to a variety of community-based organizations and schools including daycares, preschools, day camps, churches, nonprofits and public/private schools. Before completing this form, please review our field trips page to see what we offer. Please fill out the form below and our Field Trip Coordinator will reach out to you within one week.

Contact Name*
School / Organization Name*
School / Organization Address*
City*
State*
Zip Code*
Is your school Title I?*
Phone*
Email*
Information About Your Group
Grade level*
Approximate # of Students*
Approximate # of Teachers*
Will you be eating lunch at MBCM?*
- Yes
- No
Visit Date Preference
MBCM offers field trips Tuesday through Friday.
1st Choice: Date*
MM slash DD slash YYYY
Second Choice Date*
MM slash DD slash YYYY
Third Choice Date*
MM slash DD slash YYYY
Time Slot Preference:*
- 9:30am-12:30pm
- 10:00am-1:00pm
- 10:30am-1:30pm
- 11:00am-2:00pm
Would your school be willing to participate in our school spotlight program which would appear in our weekly newsletter. This would include taking pictures of your group and asking about your overall experience with us?*
- Yes
- No
How did you hear about us?*
- MBCM Website
- Previously visited
- Internet search
- MBCM Newsletter
Questions or Comments
If you have any questions or need additional information, please let us know. We will address these when we contact you.