Field Trip Form | Project XV Museum

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Field Trip Registration

School or Organization Name

Field Trip Coordinator Name

Email

Phone

Will you be the point of contact on Field Trip Day?

Is your school or organization in the state of Illinois?

Arrival Time:

Date First Choice

Date Second Choice

Date Third Choice

Upon arrival, our staff will guide chaperones to a designated area to review protocols and make recommendations for the day. Student:chaperone ratios are as follows: 5th Grade: 5:1 student:chaperone; 6th-12th Grade: 10:1 student:chaperone

Group Type

School

Camp

Daycare

Home School

Community Group

Other

Grade Level

5th

6th

7th

8th

9th

10th

11th

12th

How many chaperones will you have?

Do you have specific accessibility accommodation needs?

How did you hear about us?

Thank you for registering! You will receive a confirmation email within the next week.

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Projectxvmuseum.com

Project 15 Corp. is a registered 501c3

All Donations are Tax Deductible

1 W Front St. El Paso, IL 61738, USA

©2021 by Project XV Museum

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