Virtual Field Trip Request Form

Please fill out this form to request a virtual field trip program reservation for the 2021/2022 school year. Schedule your field trip early to reserve a spot!

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
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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Virtual Field Trip scheduling considerations:
Each session of Collection Connections Live lasts 45 minutes. Only one session can be facilitated at a time. Book up to 3 sessions a day; if you are booking multiple sessions for the same day, 15 minutes minimum is required between sessions.
Preferred Field Trip Date*
Please type in the numerical month / day / year below.
Month
Day
Year
Preferred Field Trip Date 2*
Please type in the numerical month / day / year below.
Month
Day
Year
Preferred Field Trip Date 3*
Please type in the numerical month / day / year below.
Month
Day
Year
How many sessions would you like to book?*
Virtual Field Trip 1 preferred start time*

: Hours

Minutes

AM/PM
How many students will be participating in this program?*
Please enter a number from 10 to 30.
Number of chaperones*
Minimum 1 teacher or chaperone during the duration of the program.
Virtual Field Trip 2 preferred start time*

: Hours

Minutes

AM/PM
How many students will be participating in this program?*
Please enter a number from 10 to 30.
Number of chaperones*
Minimum 1 teacher or chaperone during the duration of the program.
Virtual Field Trip 3 preferred start time*

: Hours

Minutes

AM/PM
How many students will be participating in this program?*
Please enter a number from 10 to 30.
Number of chaperones*
Minimum 1 teacher or chaperone during the duration of the program.

Save and Continue Later

MOHAI