School Field Trip Request Form Step 1 of 4 25% School Field Trip Request FormThis form is to request a field trip for schools and daycares. If you are not requesting for an educational organization, please use our "Group Trip Request Form" or call 205-714-8414.School Name* Billing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Tax Exemption*Is this school or group tax-exempt in the state of Alabama? If uncertain, choose "No" No Yes Tax Exempt Status FormAccepted file types: jpg, png, gif, bmp, pdf, Max. file size: 4 MB.Per state law, please provide a copy of your tax exempt status form valid in the state of Alabama. If not readily available, you can get this to us at a later date.School Phone Number*School Type*Alabama Public SchoolAlabama Private SchoolMS SchoolGA SchoolTN SchoolPreschool not affiliated with a publicDaycareHomeschool Group (at least 15 students)OtherSchool District* County* Source Code (choose 'Not Applicable' if you do not have one)Not ApplicableEngage23Engage24 Contact InformationContact's Name* First Last Contact Phone*Alternate PhoneContact Email* Will the contact be on-site for the field trip?*SelectYesNoOn-site Contact Name (if different than primary contact) First Last On-site Contact PhonePreferred form of contact*Contact's Phone NumberContact's E-mailOn-site Contact's Phone NumberPreferred Contact Time9:00 AM9: 30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM Field Trip InformationGrade Levels Attending (select at least one)* Pre-K Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade Preferred Date of Field Trip* MM slash DD slash YYYY Field Trips must be booked at least two weeks prior to preferred date.Alternate Date* MM slash DD slash YYYY Field Trips must be booked at least two weeks prior to preferred date.Arrival Time* : Hours Minutes AM PM AM/PM Departure Time* : Hours Minutes AM PM AM/PM Total Number of Students*($8 Adventure Halls Only/ /$13 IMAX Combo/ $8 IMAX Only) Total Number of Teachers*(Free - Adventure Halls only/ $7 IMAX Combo/ $7 IMAX Only) Total Number of Adult Chaperones($5 Adventure Halls Only/ $10 IMAX Combo/$7 IMAX Only) Method of TransportationSchool/Charter BusVanPersonal VehicleWalkingHow Many Vehicles?* Please note that parking in the deck requires per-vehicle payment either upon exit with cash or card, or via tokens sold at the Ticketing Desk during business hours. Parking is limited and available on a first-come, first-served basis only. Limited street parking is also available in the vicinity. Learn More... Activities & ProgramsAdventure Halls Only / Combo / IMAX Only?*Adventure Halls OnlyComboIMAX OnlyA reservations specialist will follow-up to discuss film options and schedule availability prior to finalization of this reservation.Would you like an education program?*YesNo$2 per student. Subject to availability. Standards-based programs can be found in the field trip guide. Educational programs unavailable during summer months.Lunch Options*SelectNo Lunch at McWane Science CenterBringing Sack Lunches Δ
