School Group Inquiry Form

School Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

School Phone Number

(###)

###

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Contact Name *

First Name

Last Name

Contact Cell Number *

(###)

###

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Is this cell number for a person who will also be on-site with students on the day of the visit? *

Yes

No

Programs of Interest *

Please select one:

Cool KY w/ Guided Tour (Max of 40 | Grades K - 12)

Cool Kentucky w/ Investigation Guide (Max of 90 | Grades K - 12)

Declaring Your Independence (Max of 120 | Grades 4 - 8)

Flashback: Louisville Media (Max of 35 | Grades 5 - 12)

History Mystery (Max of 90 | Grades 5 – 12)

History in Miniature (Max of 120 | Grades K - 4)

Kentucky Pioneers (Max of 120 | Grades 3 - 5)

Lewis and Clark (Grades K-3, Max of 120 | Grades 4 - 12, Max of 90)

Lights on Main: Winterfest Field Trip (max of 120 | Grades K-8 | Nov 20 - Jan 6)

Revolutionary Kentucky (Max of 120 | Grades 5-12)

Self Guided Visit (Max of 120 | K - college)

The Commonwealth w/ Guided Tour (Max of 40 | Grades 4 - 12)

The Commonwealth w/ Investigation Guide (Max of 90 | Grades 4 - 12)

Uniquely Kentucky (Max of 120 | Grades 3-8)

Not sure, please contact me with options.

Would you like your students to have access to the museum store?

Groups that mark "yes" will be given additional directions during orientation. The store allows up to ten students to shop at a time, with an adult chaperone. Items purchased must stay in a museum bag until departure.

Yes

No

If you are requesting Title 1 funding and it happens to have all been allocated, are you still interested in planning a visit?

Yes

No

I'm not sure

How did you hear about field trips to the Frazier Museum?

Please select all that apply.

Frazier Museum School Programs Guide

Frazier Museum Website

From a friend or fellow teacher

Frazier Museum Educator E-News

Previous field trips to the Frazier Museum

Other, please specify