MOHAI

A staff member from MOHAI's Education Department will contact you to finalize details, answer questions, and confirm your reservation. Your reservation is not confirmed until you receive a confirmation number.

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 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 youths 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 youths would benefit from from this scholarship assistance and from MOHAI's resources/programs:*

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How many groups will attend the field trip?*
Group 1 Info
Group Leader's Name*
First Last
Grade Level Description*
Describe grades included in the group
Number of Youths (ages 18 and under):*
Maximum 30 youths per group
Please enter a number from 1 to 30.
Number of Chaperones:*
1 adult to every 6 youths minimum required. 1 to every 2 youths maximum covered under field trip fee. Additional chaperones above maximum will be charged for Adult Admission.

Please enter a number from 1 to 30.
Group 2 Info
Group Leader's Name*
First Last
Grade Level Description*
Describe grades included in the group
Number of Youths (ages 18 and under):*
Maximum 30 youths per group
Please enter a number from 1 to 30.
Number of Chaperones:*
1 adult to every 6 youths minimum required. 1 to every 2 youths maximum covered under field trip fee. Additional chaperones above maximum will be charged for Adult Admission.

Please enter a number from 1 to 30.

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

Hours :

Minutes

AM/PM
What is your preferred departure time?*

Hours :

Minutes

AM/PM
Please Note:
- The earliest arrival time is 9:45 am. Self-guided programs are scheduled to begin 15 minutes after an arrival time to allow for a museum introduction.
- Field trips last a minimum of two hours.
- Please make sure that the arrival and departure times will work prior to requesting to book a field trip. If a shorter visit is required, please schedule a self-guided field trip instead, bring fewer groups, or spread groups out over a second field trip.
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?*
Please note: MOHAI does not have an indoor lunch facility. School groups eating lunch at the museum should plan to eat in the surrounding Lake Union Park.
- 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 except in cases of severe weather.
What do you want/expect to get out of your field trip to MOHAI?*
Please describe any special considerations that would help us best prepare for working with your youths:
Considerations include learning styles, physical needs, cognitive and sensory challenges. The more information you provide, the better we will be able to support your youths' unique needs.
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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Self-Guided Summer Field Trip Request

Step 1 of 5

School / Organization Info

Contact Info

Scholarship

Group 1 Info

Group 2 Info

Schedule and Logistics

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Self-Guided Summer Field Trip Request

Step 1 of 5

School / Organization Info

Contact Info

Scholarship

Group 1 Info

Group 2 Info

Schedule and Logistics

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