Self-guided Field Trip Registration Contact Info Primary Contact Name* First Last Primary Contact Email* Enter Email Confirm Email Primary Contact Mobile Phone*Name of adult coming to the Wildflower Center in charge of students* First Last Mobile phone for adult coming to the Wildflower Center in charge of students*Email address for adult coming to the Wildflower Center in charge of students School Group InformationSchool Name* What kind of school are you from?*Public SchoolPublic School (Title I)Private SchoolFaith-based SchoolHome SchoolDaycareAfter School ProgramAddress* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code School Phone Number*Classroom Phone Number*School District (If Applicable) County Trip DetailsSelect Desired Field Trip Date* MM slash DD slash YYYY Select Start Time*9 am9:30 am10 am10:30 am11 am11:30 amnoon12:30 pm1 pm1:30 pm2 pm2:30 pm3 pm3:30 pm4 pmSelect End Time*9 am9:30 am10 am10:30 am11 am11:30 amnoon12:30 pm1 pm1:30 pm2 pm2:30 pm3 pm3:30 pm4 pmSelect Alternate Field Trip Date* MM slash DD slash YYYY Select Start Time*9 am9:30 am10 am10:30 am11 am11:30 amnoon12:30 pm1 pm1:30 pm2 pm2:30 pm3 pm3:30 pm4 pmSelect End Time*9 am9:30 am10 am10:30 am11 am11:30 amnoon12:30 pm1 pm1:30 pm2 pm2:30 pm3 pm3:30 pm4 pmTell Us More About Who's ComingWhat grade level?*Pre-KKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12thHow many students?*Please enter a number from 5 to 185.How many teachers?*How many chaperones? (not including teachers)How will your group arrive at the Center?*BusCarVanDon't know yetAre you a member?*Choose OneYesNoWe welcome all to the Wildflower Center. Please let us know if any of your students have special needs.CAPTCHA