EmailMeForm
Fall 2022 On-site Lead Teacher Registration Form
If your group does not already have a field trip date, please contact Kelly Scott at kscott@abac.edu.
Group and Contact Information
School Name
*
Contact Person
*
Phone
*
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School Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
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
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
Free Time is included with all on-site field experiences. Select two more experiences for a total of three sessions. If an early departure is necessary (before 1pm) then choose only one session. If arriving at 10 am, choose only one session to leave by 1:15 pm.
On-Site Programs; Field Experiences
*
Fluke or Fortune, 3rd & 5th grade
Animal Academy, 3rd & 5th grade
Coastal Plains, 3rd & 5th grade
ANR Career Erosion Specialist, 3rd & 5th grade
Only select two sessions from this list for a typical all day program (9am-1:15pm). If late arrival or early departure are needed, select only one session.
Will your school visit the Drug Store during your Free Time session?
*
Yes
No
The Drug Store is not led by Museum Staff. Students will be able to purchase snacks and souvenirs. Teachers/adults must be inside the store with the students to assist. This rotation may be before lunch. Schools may purchase ice cream in advance for their students. Contact Tonia Carpenter, 229/391-5205 or tcarpenter@abac.edu, if you would like to purchase ice cream.