Field Trip Inquiry

* denotes required field

Organizer Name*

Phone Number*

Email*

Organization/School Name*

Is this a Title I School?*
---YesNo

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.)
---TripleQuad

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.)
---One World, One Sky (Pre-K - 2nd Grade)Earth, Moon, & Sun (Pre-K - 5th Grade)Flight Adventures (2nd Grade +)Dinosaur Prophecy (3rd Grade +)Back to the Moon (4th Grade +)Habitat Earth (5th Grade +)Two Small Pieces of Glass (6th Grade +)Out There (6th Grade +)Exoplanets (9th Grade +)

How many students/participants will be attending?*

How many classes will be attending?*

What is the age range of the students/participants attending?:
---Pre-K (Ages 3 - 5)Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeAdults (Ages 18+)Other
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?*
---YesNo
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:*
---10:00am-12:00pmOther

Please provide any additional information relevant to your field trip:

Thank you for your interest in Field Trips at the LASC! We will follow up with you within 5 business days.

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