Form Center

2. HERITAGE CROSSING VIRTUAL FIELD TRIP
   Please provide your contact information below. You will receive a link to view the video and for printable worksheets to use in class.
4. Name*
5. Organization*
7. Address
9. City*
10. State
11. Zip Code
13. Email Address*
14. Phone Number
16. Number of Students*
    Please give us the total number of students who will see the virtual field trip.
17. Student's Grade Level
    -- Select One --Pre-KK123456789101112Other
18. Curriculum or Subject
    Please indicate the subject and/or curriculum you are planning to use this virtual field trip in conjunction with.
20. Planned Date
22. If you are interested in a live question and answer session with museum staff after the virtual field trip, please answer the following questions.
24. How many live question and answer sessions will you need?
25. Answer
27. Will sessions be on the same or multiple days?
28. Answer
30. What is your first choice of dates?
31. Answer
33. What is your alternate choice of dates?
34. Answer
36. Museum staff will be in touch with you to schedule and provide Zoom links for the actual question and answer sessions.
Leave This Blank:


37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit

* indicates a required field