Field Trip Reservation Request

Please fill out the form below to request a field trip reservation. You will be contacted by email and we will make every effort to accommodate your first choice. You can also reserve your group now by calling (412) 322-5058, ext. 240.

School / Group Information

Name of School / Group
School District
Address of School*
City*
State*
Zip*
Phone
ex. 412-555-5555

Contact Information

Please provide the contact information for the point person attending the field trip:

First name
Last name
Address*
City*
State*
Zip*
Phone
ex. 412-555-5555
Email*

Field Trip Information

Field trip type

Visitor Information

Number of classes
Number of Children in Total
Grade level
Number of chaperones

We require one chaperone for every five students

Date and Time of Field Trip

First Choice Arrival*
ex. 03/29/2020, 1:00 PM
First Choice Departure*
ex. 03/29/2020, 1:00 PM
Second Choice Arrival
ex. 03/29/2020, 1:00 PM
Second Choice Departure
ex. 03/29/2020, 1:00 PM
Third Choice Arrival
ex. 03/29/2020, 1:00 PM
Third Choice Departure
ex. 03/29/2020, 1:00 PM
Is your group interested in visiting Waterplay?
1. Yes
2. No
How will you be transported to the Children's Museum?
1. Bus
2. Van
3. Individual Cars

Lunch

Please schedule 30 minutes in our lunch room for brown bag lunches.
Lunch time

Would you like to purchase a pre-made box lunch for each student? If yes, select choice:

($4.50 per lunch box + tax, 7%. minimum total of 15 with a minimum per choice of 5)

Hot Dog

Peanut Butter & Jelly Sandwich

Turkey & Cheese Sandwich

Cheese Sandwich

Includes one sandwich, applesauce and a ½ pint milk. Whole fruit can be substituted for applesauce upon request. Box Lunch orders must be placed at least 5 days in advance. For questions concerning allergies or recipes contact the Café manager at 412-322-5058 ext 203.

Additional Information

Special Requests, including Accessibility Accommodations