Request Field Trip Information

Billing Address (if different than School Address)

Mode of Transportation *

District Bussing

Private Vehicles

Unsure

# of Chaperones: *

Are you a Title One school? *

Yes

No

Date of Field Trip - Second Choice *

30 minutes of lunch space needed? *

Yes

No

Email: *

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Contact Name: *

Average # of Students per class: *

# of Classes:

Payment Type *

Cash

Check

Credit Card

PO (Please note: PO#s are due within 14 calendar days of booking)

Date of Field Trip - First Choice *

Bus Departure Time *

Grade: *

School Address *

Are you a charter school? *

Yes

No

School District: *

Will students visit the Gift Shop? *

Yes

No

Phone *

Bus Arrival Time - Programs begin every 2 hours starting at 9:30am (Please note: We understand that transportation can create special circumstances, please indicate in the message section below if you need a change from our normal start times.) *

Who will we be billing: *

District

School

Third Party

Date of Field Trip - Third Choice *

Other information: *

School Name: *

Tel: (623) 322-2001

Thank you for your interest in working with the Arizona Earth & Space Expedition Center!

Field Trip Information Request Form

In an effort to make our educational programs as accessible as possible to children across the State of Arizona, we are proud to offer our Field Trip Assistance Program for Title One schools. If you would like to apply, please fill out the PDF form below and submit it above.