Name of School:*

School mailing address (please include city and zipcode):*

School Phone Number:*

Contact Full Name:*

Contact Phone Number:*

Contact Email Address*

Please select type of school:*

Is your school part of the MDCPS?*

If yes, does your school receive Title 1 funding?*

Grade level of students attending:*

Number of students attending field trip:*

Number of chaperones (any adult including teachers, parents, legal guardians, grandparents or siblings 18 and older). A ratio of one chaperone per every 10 students is required.*

Frost Science is dedicated to offering a memorable experience for all students, including those with special needs. Please help us prepare for your visit by telling us about your students and any modifications or accommodations they may require. Your answer will not affect your ability to participate. Please check any of the categories below that apply to your students.

Does your group have any accessibility needs or require any special accommodations that are not listed above or require further explanation? Please let us know so we can better plan your visit.

Please list below, in order of preference, the date your group would like to visit Frost Science.

Preferred Date #1:*

Preferred Date #2:*

Preferred Date #3:*

Arrival time:

Departure time:

Please select your field trip details:*

Please note that Planetarium Shows and Learning Labs are only offered August-May.

Please select your Learning Lab ($5.00 additional per child and is subject to availability. Maximum class size will vary, but will never exceed 96 students on any given day.)*

Will you be visiting the Science Store during your Field Trip?*

Additional Comments (Any information that we should know about your group.)

By submitting this reservation, you are requesting a field trip to Frost Science. If the date requested is available, an invoice will be emailed to the contact person submitting this form within 5-10 business days. Please note that a 25% deposit is required to hold your field trip date. School group rates apply to groups with at least 10 participants (pre-K to college). Special needs groups are not required to have the minimum 10 students.