Learning Station Field Trip Registration

Contact Info
Primary Contact Name*
First Last
Primary Contact Email*
Enter Email Confirm Email
Primary Contact Mobile Phone (for day-of contact)*
Second Contact Name (If Applicable)
First Last
Second Contact Email (If Applicable)
Enter Email Confirm Email
School Group Information
Group Name*
What kind of school are you from?*
- Public School
- Public School (Title I)
- Private School
- Faith-based School
- Home School
Address*
Street Address Address Line 2 City State ZIP Code
School Phone Number*
Classroom Phone Number*
School District (If Applicable)
County
Trip Details
K-2nd Learning Stations are only available on Tuesdays in Spring and Fall.
Select Desired Field Trip Date*

Choose Tuesdays only
Select Alternate Field Trip Date*

Choose Tuesdays only
Tell Us More About Who's Coming
How many students?*
Please enter a value between 30 and 60.
What grade level?*
How many teachers?*
How many chaperones? (not including teachers)
How will your group arrive at the Center?
Are you a member?*
We welcome all to the Wildflower Center. Please let us know if any of your students have special needs.
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