School Programs Reservation Form

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This is a reservation REQUEST. If your requested date and time is available, you will receive a confirmation email. If your requested date NOT available, we will contact you as soon as possible to find one together.

School or group name: Low Income?

Teacher or group leader:

Email: Phone:

Address:

Have you visited the museum before? Yes No

How did you hear about us?

Expected Number of Students:  Grade/Age Level:  Expected Adults (1 free for every 10 students):

Please note programs are available Tuesday-Friday, 9 a.m.-4 p.m.

1st Choice Date:  
2nd Choice Date:
3rd Choice Date:  
Time:  
Time:
Time:  

Length of visit:
(We recommend 60-90 minutes)

SCHOLARSHIP REQUEST SUBMITTED?                 YES NO (Separate form)
TRANSPORTATION SCHOLARSHIP REQUEST?     YES NO (up to $100)

Do any students have any special needs of which the guide should be aware?

List any educational goals or subjects of interest:

Program Options: (choose one for your grade level(s))

Pre-school - 2nd Grades
Storm Boy
Fun with Fossils
Camas Oven
Grades 6th - 12th and up
Cultural Scene Investigation
Grades 3rd - 5th
Oregon Archaeology Detectives
Fossils, Fact or Fiction?