Field Trip Reservation Form

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Field Trip Reservation

In order to qualify for the group discount you must have at least 25 people in your group

Field Trip Registration

Teacher/Leader *

Email Address *

Phone

Preferred Method of Contact

Best Time To Contact

School/Organization

Address

City

State

Zip Code

Choice Date

2nd Choice Date

3rd Choice Date

Arrival Time

Departure Time

Grade Level

Number of Classes

Number of Students

Number of Adults

Photo Release: (I authorize the photographer of the Putnam Museum to publish photographs taken during this field trip. I give the photographer of the Putnam Museum the right to use the images in printed, web, social media, or video-based marketing materials/publications. I understand the master image(s) remain(s) the property of the Putnam Museum and there are no restrictions on the number of times the image(s) may be used.)

Comments

Request Subsidy, if available (free/reduced lunch percentage must be 25% or more)

If requesting general admission subsidy, what is your free/reduced lunch percentage?

Lunch Space

Concessions

If yes, you MUST Submit a request for concessions below.

Gift Shop

Program Options (Discounts may apply)

Option 1: Museum & Science Center ($6/youth, $10/additional adults)

Option 2: GIANT Screen Theater ($5/youth, $8/additional adults)

Option 3: Educational Program ($3.50/student, Minimum 25 ($87.50))

Movie Time (Subject to availability)