MOHAI — Education Summer Field Trip Registration

Please fill out this form to request a summer 2018 field trip reservation (June 25–Sept. 1, 2018 only).

During the summer, all student group visits are self-guided and include a paper-based gallery activity. MOHAI's regular guided field trips are only available during the school year. Book a 2018/2019 field trip during the school year

A staff member from MOHAI’s Education Department will contact you to finalize details, answer questions, and schedule your summer field trip. Questions? Contact the Education Department or call 206 324 1126 Ext. 106.
School / Organization Info
School / Organization Name*
School District (if applicable)
School / Organization Phone*
School / Organization Address*
Street Address Address Line 2 City State ZIP Code

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Contact Info
Contact Name*
First Last
This is the person who will be the primary point of contact during the summer field trip reservation process.
Contact Email*
Contact Phone*
Contact is the:*
- Teacher or Instructor
- Parent or Volunteer
- Administrator

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Scholarship
Are you applying for our scholarship program?*
- No thanks
- Yes, we are a federally funded Headstart or ECEAP program
- Yes, we are a public school where 40% or more of enrolled students qualify for government-subsidized meals
- Yes, we are a youth program receiving 5% or more of its funding from government sources
- Yes, we are a youth program with 40% or more of enrolled children receiving some form of public assistance
Please explain in 1-2 paragraphs how your students would benefit from from this scholarship assistance and from MOHAI's resources/programs:*

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Field Trip Info
Group Leader's Name*
First Last
Grade Level*
Describe grades included in the class*
Number of Students (ages 18 and under):*
Please enter a value between 1 and 120.
Number of Chaperones:*
Minimum 1 per 5 students; Maximum 1 per 2 students.
Additional chaperones above maximum will be charged for Adult Admission.
Please enter a value between 1 and 60.

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Schedule and Logistics
Preferred Visit Date*
Alternate Date 1*
Alternate Date 2 (optional)
What is your preferred arrival time?*

HH :

MM
Please Note, the earliest arrival time is 10 am.
Visit duration (up to 2.5 hours max)*
How will you travel to MOHAI?*
Check all that apply.
- School or charter bus
- Carpool or personal vehicles
- Public transit
- Ferry
- Other
Will you be bringing bag lunches to the museum?*
- Yes
- No
Please Note:

Please note, MOHAI does not have indoor lunch facilities or permit outside food and drink in the Café. Groups must eat lunch out in the park during the summer.
Do you have any additional comments, requests, or special needs that we should know about?
Sign-up for the MOHAI Education Newsletter?
Receive the latest news from MOHAI's education team. We will not share or trade your email address.
- Yes! I would like to receive MOHAI's Education newsletter

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School / Organization Info