Mineral Museum Field Trip Request Form

1. Schedule a field trip to the UA Mineral Museum using this form. Click here to read program descriptions.

Contact Information

1. Contact Person's Name(required)
2. Teacher's Name (if different)
3. School/Group Name(required)
4. Email(valid email required)
5. Verify Email(valid email required)
6. Phone Number(required)
7. Fax Number
8. Address(required)
9. City(required)
10. State Arizona - Alabama Alaska Ariz (required)
11. Zip Code(required)
12. Due to space constraints, we can only accomodate 60 students per day. Cost is $150 for the first group of 30 students, and $100 for additional students (up to 60).
13. Number of Children(required)
14. Grade Level select one - preschool kindergarten 1st - 2nd grade 3rd - 4th grade 5th grade 6th - 8th grade High School Adults (required)
15. Number of Adults(required)
16. Our Mineral Museum Field Trips are available Tuesday - Friday
17. Preferred Date(required)
18. Start Time select a start time - 9:30 AM 11:30 AM (required)
19. Alternate Date 1(required)
20. Start Time for Alternate Date 1 select a start time - 9:30 AM 11:30 AM (required)
21. Select the mineral museum program you would like to schedule
22. Mineral Museum Program Select Your Program - Living in a Mineral World (grades 1-12) Rocks Rock! (Grades 3-12) (required)
23. Check here for groups with special needs
24. Please provide a brief description
25. Additional Information or Questions

 

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