Exploration Program Information Form

Exploration Program Form

You will need to purchase your tickets and submit this form to secure your reservation for an Exploration program.
School or group name*
School district*
Public Schools: Your district name. Non-public schools: Non-public. Homeschool organizations: Homeschool. All others: Other.
Your Name*
Email*
Enter Email Confirm Email
Contact Person*
(If you will not be attending with your school group, please list the name and number of someone who WILL be on site that day.)
Contact phone number*
School address*
Street Address City State ZIP Code
County*
Number of students*
Age or grade*
Date of Exploration program*
(Must match date of purchased tickets.)
MM slash DD slash YYYY
Arrival Time*
: Hours
Minutes
AM/PM
Departure Time*
: Hours
Minutes
AM/PM
Which program are you registering for?*
All programs are 3 hours except ‘School in 1876,’ which is 2 hours.
What is your learning objective or curriculum connection?
What are you hoping students learn during this experience?
Do you want a break for lunch while on the grounds?*
If you select ‘Yes,’ we will coordinate a space for your group before or after your program.
- Yes
- No
Do you want time to shop in the MarketPlace Museum Shop in the Visitor Center?*
If you select ‘Yes,’ we will open the MarketPlace Museum Shop during your lunchtime. (The shop is open by appointment only when the museum is closed.)
- Yes
- No
Special needs or requests
Please provide any information or requests that we need to know to make your visit successful.
Policies*
- I have read and understood the Cancellation Policy.
- Living History Farms allows one adult per program to attend at no charge.
- 1-1 associates are always admitted free.
- Additional adults will be charged the program fee.
You will receive an auto-generated email after you submit this form. However, your reservation is not final until (a) you purchase your tickets and (b) you receive a confirmation from a Living History Farms representative.
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Comments
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