Field Trip Educational Scholarship Fund Application Step 1 of 5 20% HiddenSource Code (If Applicable) Source Code (choose 'Not Applicable' if you do not have one)Not ApplicableEngage23Engage24Have you already booked this trip with a Reservations Specialist?*YesNoMcWane Science Center’s Education Scholarship Fund can be utilized to assist with the cost of field trips and outreach programs. Funds are limited and will be offered on a first come first serve basis for Title I and other qualifying schools and organizations in Alabama. McWane Science Center’s Education Scholarship Fund will cover the cost of a reserved program, but will NOT cover the cost of an IMAX movie.School/Group 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 School/Group Phone Number*Group Type*SelectTitle 1 SchoolSchool or organization serving low-income, underserved populationsOtherSchool District* School County* Contact InformationOrganizer Name* First Last Organizer Phone*Alternate PhoneOrganizer Email* Will the trip organizer be on-site for the field trip?*SelectYesNoOn-site Contact Name* First Last On-site Contact PhonePreferred form of contact*Organizer's Phone NumberOrganizer's E-mailOn-site Contact's Phone NumberPreferred Contact Time : Hours Minutes AM PM AM/PM Field Trip InformationGrade Levels Attending 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*(If your group wants to see an IMAX film, the cost will be $8 per student.) Total Number of Teachers*(If your group wants to see an IMAX film, the cost will be $7 per teacher.)Total Number of Adult Chaperones(If your group wants to see an IMAX film, the cost will be $7 per chaperone.)Method of TransportationSchool/Charter BusCarpool to McWane Parking DeckOther (Specify)Describe Other Method of Transportation How Many Buses?*Please enter a number from 1 to 10.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.A reservations specialist will follow-up to discuss programming options and schedule availability prior to finalization of this reservation. Lunch Options*SelectNo Lunch at McWane Science CenterBringing Sack LunchesPreferred Lunch Time*Select10:1511:0011:4512:301:15Subject to availability. Lunch periods are 30 minutes. Δ
