High Desert Museum: Register

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Fired Up Field Trip

'Fired Up About Oregon's Forests'
Express Registration Form

 

Please DO NOT submit this form unless you are ready to register.  Once forms are received, the Museum will contact you within 10 business days either to confirm or modify your reservation.  

Have you read our FIELD TRIP GUIDELINES? Click to download them in Adobe PDF format!

Please complete the following form with as much detail as possible.  Fields with an asterisk (*) are required for submission.

 

Contact Information:
Group Name:*  
Contact Name:*  
Additional Teachers:  
Contact Telephone:*  
Mailing Address:*  
City:*  
State:*  
Zip Code:*  
County:*  
Email Address:*  

Group Information:
# of Students:*  
# of teachers*  
# of Chaperones:  
(1:5 chaperone/student ratio required for all field trips.)
Student Grade Level:*  

 
 

Date/Time Requests:
Please indicate your 1st, 2nd and 3rd choices for the date and time of your program.
Date: (MM/DD/YY)
Choice 1  
Choice 2  
Choice 3
 
 
 
What is the earliest time you are able to arrive at the Museum.?  
 
What is the latest time you can depart from the Museum?  

  
Additional Information:
How did you hear about our education programs (check all that apply)?
 Previous Educational Visit
Browsing Website
Heard from a friend/colleague
School Programs Brochure
Museum came to your school
Other:
 
Please explain, in detail, any special requests or concerns you have regarding your registration:
Please remember, once you submit this form and your registration is confirmed, changes or cancellations are subject to administrative fees.