Virtual Field Trip Booking Request Form

Name*

First

Last

School or Organization*

Email*

Phone-Area Code*

Area Code

-

Phone Number

Number of Students Attending*

Creative Maker Workshops*

Coding + Robotics

Virtual Reality + Animation

3D Printing + Modeling

Virtual Makerspace Tour

Select Time (STEM Topics)

HALF DAY 9A-11A

HALF DAY 12P-2P

FULL DAY 9A-2P

Select Time (Maker Tour)

MORNING 9A-10:30A

AFTERNOON 12:30P-2P

Please write down two preferred dates and times for field trip visit.

Grade Levels or Age Range

Additional Comments