Field Trip Signup
All fields required unless labeled optional.
Contact Information
First Name
Last Name
Title
Email
Phone Number
School Information
School Name
School District
Street
City
State/Province
Zip
Title 1
Select
Yes
No
Grade Levels (Please select all that apply)*
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Other
Class/Subject
Select
History/Social Studies
Government/Economics
English/Language Arts
STEAM
JROTC
Athletics
Other
Visit Details
Preferred Date
Alternate Date
Preferred Time
Select
10:00 AM
12:00 PM
2:00 PM
Number of Students
Number of Chaperones
Number of Additional Persons
Lunch
Select
Bringing Own Lunches
Eating offsite
Pre-ordering box lunches from the NMOHM's 1861 Cafe
Other
Special Accommodations
Submit Request