K-12 School Field Trip Request Form

School Name*

Is this a Title 1 School?*

Yes
No

School Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

School Phone*

Number of Students*

Limit 60 students per day

Number of Chaperones*

Ratio of 1 complimentary chaperone per 10 students

Grade(s) of Students*

Classroom Subject*

If other, please specify*

Transportation*

Group Leader Name*

First Last

Group Leader Cell Phone*

Group Leader Email*

Visit Details

Available Times: 10am or 11am Wednesday- Friday on scheduled school days. Times are filled on a first come, first served basis. Please submit 3 preferred dates up to six months in advance.

Preferred Month*

Preferred Day*

Alternate Month*

Alternate Day

Alternate Month 2*

Alternate Day 2

Preferred Time*

10:00 AM
11:00 AM

Tour Type*

Upgrade to Include Special Exhibit(s) For an Additional Fee

Yes

Include Dalí Alive 360° (only applicable for middle/high school groups) for an additional $10 per person

Yes

Notes or Special Needs:

Your Name*

Your Role*

Reservation Confirmation*

I understand the final confirmation of guests and final visit details are due 2 weeks prior to my reservation.

I understand

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Email

This field is for validation purposes and should be left unchanged.