EmailMe Form - Destination Ag On-site Field Trip Form

Group and Contact Information

School Name *

Contact Person *

Phone *

### - ### - ####

School Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Email *

preferred means of contact

Confirm email

School District *

Date of Program *

MM / DD / YYYY

Use date already assigned by your district and Destination Ag.

Program Details

Please provide the below information to finalize your on-site field experience. Refer to the DA Program Guide or On-site Lead Teacher Guide for further information.

Grade *

Estimated # of Students *

# of Classes *

Please list any accessibility accommodations we can provide for your group.

Arrival Time *

9:00 AM

10:00 AM

Other

Choose the best arrival time for your school. Please make sure you are able to arrive at the time chosen. If neither choice is the best option, choose 'other' and type in the best time. A 10 am arrival time allows for three sessions instead of four (and still leave by 1 pm).

Departure Time *

HH : MM AM/PM

A departure time before 1 pm may lead to reducing the number of sessions available to your students.

Estimated # of teachers/staff *

Teachers, bus drivers, and school staff do not pay Museum admission.

Estimated # of chaperones *

All other adults must pay Museum general admission.

Will your school be bringing a sack lunch? *

Yes

No

The Opry Shelter will be available for schools to eat their sack lunches.

Sessions Options

The career lesson is included with all on-site field experiences. Select up to three more experiences for a total of four sessions. If an early departure is necessary (before 1pm) then choose only one or two sessions. If arriving at 10 am, choose two more sessions to leave by 1 pm. Free Time and Drug Store sessions are not led by Museum staff.

On-Site Programs; Field Experiences *

Forests For Us, 3rd-5th grade

Processing the Past, 3rd-5th grade

Georgia Georegions, 3rd-5th grade

Moos & Moolah, 3rd-5th grade

Free Time, PreK-5th grade (agriculturally themed playground; not led by Museum staff)

Drug Store, PreK-5th (buy snacks & souvenirs; not led by Museum staff)