For Museum Use Only Assigned by:_______ Field Trip Date: ____________ Time:____________ Lunch Room Assigned: ____________ Lunch Room Time(s):_______________ Confirmation Packet Sent On:___________ Information Provided to Louise’s :________ Entered into Master Calendar :_________ Museum Mania Field Trip Request Form (THIS IS NOT A CONFIRMATION OF YOUR FIELD TRIP!) A group consists of 15 or more and is limited to groups no larger than 55 people. Rates depend on group activities and lunch. “Museum Mania” is held on Tuesdays and Wednesdays from 10AM- 2PM. Day begins at The Terre Haute Children’s Museum and concludes at The Clabber Girl Museum. To request a reservation, return form to Abby Koester or Megan Marvin (contact information on back of sheet). Once a request has been made, we will call the contact person listed within 3 business days. A complete field trip packet will be mailed after we have called you back. Your visit is not confirmed until you receive a confirmation packet. Groups or classes that require separate receipts must make separate reservations. Field Trip reservations are made based on space and availability. Contact Name: _______________________________________________________________________________________________________ Name of School/Organization: _________________________________________________________________________________________ Address: ______________________________________________________________________________________________________ Daytime Phone: _______________________________________________ Alternate Phone: _______________________________________ Fax Number: __________________________________________________ Email: _________________________________________________ Preferred Method of Contact: Phone Email Best Time to Call ______________________________________________________ Ages of Students Visiting_________________________ Grade of Students Visiting ____________________________________________ # In Your Group: # of Students__________ # of Teachers__________ # of Chaperones__________ Special Needs (Please specify):___________________________________________________________________________________________ Typical Schedule 10AM: Groups will arrive at the Terre Haute Children’s Museum and have a short orientation before beginning their self-guided visit at the Children’s Museum. 12PM: Groups will eat lunch at preferred location. (Options are below.) Depending on location, groups will walk to Clabber Girl Museum after or before lunch. 1PM: Groups will tour the Clabber Girl Museum and participate in an activity in Clabber Girl’s Kitchen. 2PM: Groups will depart from Clabber Girl Museum. Departure location is determined by weather and bus parking. Date of Visit Museum Mania field trips can be held Tuesdays or Wednesdays beginning at 10 AM at the Terre Haute Children’s Museum and end approximately at 2 PM at the Clabber Girl Museum. Assignments are made based on availability. We will do our best to schedule your field trip on your preferred date. Times are Eastern Standard Time Top 3 Date Choices: 1)________________ 2) ________________ 3)________________ Lunch Options There are several lunch options for your students, please check one: ____ We would like to bring sack lunches and reserve a party room at the Terre Haute Children’s Museum for our group to eat. (+ $1 per person) ____ We would like to order lunch from Louise’s Café and eat at the Terre Haute Children’s Museum (870-4612) (+ $4 per person): You are responsible to pay for all of the lunches you have ordered. ____ We would like to order lunch from Clabber Girl and eat at the Clabber Girl Museum (812-478-7119) (+ $4 per person): You are responsible to pay for all of the lunches you have ordered. ____ We will not eat lunch at either museum (no additional charge) (Over) Terre Haute Children’s Museum Field Trip Reservation Policies Please review the policies and guidelines below. Initial each one and sign below. Request forms that have not been initialed and signed will not be scheduled. ___ There is a required 5:1 adult to child ratio when visiting both museums. ___ A group visit must consist of at least 15 people to receive a group rate. ___ The Terre Haute Children’s Museum will not accept memberships, admission tickets or discounts during field trips. ___ Payment must be received in a SINGLE check, credit card or cash transaction for each museum. Guest count must be finalized three business days prior to your visit. Any additional guests will be charged the general admission fee of $7. ___ The Terre Haute Children’s Museum and The Clabber Girl Museum cannot offer refunds or balance due adjustments for absent children. ___ Chaperones must stay with their assigned children and are responsible for their children’s behavior. ___ Lunch times and locations are non-negotiable. ___ Cancellations must be made three business days prior to the day of your trip. If you do not notify us of your cancellation, a $25 cancellation fee will be charged to your school. ___ Bus drivers are required to drop children off at the field trip entrance and are encouraged to park on 8th St. Children cannot be dropped off anywhere else due to safety procedures. ___ If your group does not abide by our field trip policies, a phone call will also be made to their administrator and they may be asked to leave the building. Payment Method Please pay for your field trip immediately following your group orientation. Payments must be made separate to each museum via check, Visa/MC/Discover or cash transaction. We cannot offer refunds or balance due adjustments for absent children for admission or lunches. Number *Due to Terre Haute Children’s Museum *Due to Clabber Girl Museum *Free Chaperones (1 for every 5 children) Lunch Options (please choose one): Lunch in another location - Sack Lunch in Children’s Museum (ALL chaperones and students) Lunch from Clabber Girl (Total lunches ordered) Lunch from Louise’s (Total lunches ordered) *Additional Chaperones will be charged $5 each Price @ $5 per person @ $6 per person @ FREE Total @ FREE @ $1 per person $0 $0 @ $4 per lunch @ $4 per lunch Total Due= I have read and understand all policies and procedures: * Signed Name____________________________________ Date ____________ To request a visit, return this form to Abby Koester at: E-mail: [email protected] Fax: 812.238.1680 Phone: 812.235.5548 Address: 727 Wabash Ave. Terre Haute, IN 47807 OR Megan Marvin at: E-Mail: [email protected] Fax: 812.478.7181 • Phone:812.478.7119 Address: 900 Wabash Ave. Terre Haute, IN 47807 Once we receive this form, a representative from either museum will contact you to confirm your field trip date/time and to discuss additional details.
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