Schedule A Field Trip – Living Arts & Science Center

* denotes required field

Organizer Name*

Phone Number*

Email*

Organization/School Name*

Is this a Title I School?*

Organization/School Address*

Organization/School City*

Organization/School State*

Organization/School ZIP*

Please indicate a method of payment your group will make:*

Please select which field trip structure you are interested in*: (For more information, click here.)

If applicable, please select which Planetarium show you would prefer for your field trip. Please note the suggested age range for each show in parentheses. (To learn more about each show, click here.)

How many students/participants will be attending?*

How many classes will be attending?*

What is the age range of the students/participants attending?:

If Other, please specify:

If your group includes students/participants with disabilities, please share any information that would help us accommodate them during your field trip below. Our facilities are wheelchair accessible.

Will any parents/non-participants be attending?*

If you answered "Yes," please estimate the number attending:

First preference for date of field trip:*

Second preference for date of field trip:*

Third preference for date of field trip:

Preferred time of day:*

Please provide any additional information relevant to your field trip:

Thank you for your interest in Field Trips at the LASC! Once this form is completed, please allow staff 5 business days to respond with a confirmation and invoice. Educational offerings are not officially booked until a signed invoice is returned.