Name of School(Required)Grade Level(s) of Students(Required)School/Group Type(Required) Homeschool Public School Private School Virtual School OtherSchool District(Required)Billing Address(Required) Street Address 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 Preferred Date of Trip (Top Choice)(Required)No dates are guaranteed. Subject to availability. MM slash DD slash YYYY Second Choice for Date of Trip(Required) MM slash DD slash YYYY Third Choice for Date of Trip(Required) MM slash DD slash YYYY Name of Lead Contact(Required)Phone Number of Lead Contact(Required)Email Address of Lead Contact(Required) Phone Number of School/Organization(Required)Name(s) of Classroom Teacher(s) & Number of Students in Each Class(Required)Ex: Ms. Jones (18), Ms. Smith (16)Preferred Arrival Time(Required)Subject to availability.9 am9:20 am9:40 am10 am10:20 am10:40 am11 am11:20 am11:40 am12 pm12:20 pm12:40 pm1 pm1:20 pm1:40 pm2 pmLastest Departure Time(Required)For planning purposes.11:20 am11:40 am12 pm12:20 pm12:40 pm1 pm1:20 pm1:40 pm2 pm2:20 pm2:40 pm3 pm3:20 pm3:40 pm4 pm4:20 pm4:40 pmNumber of Students Expected to Attend(Required)Number of Teachers Expected to Attend(Required)Number of Aides/Nurses/Bus Drivers Expected to Attend(Required)Number of Other Adults Expected to Attend(Required)What kind of transportation are you taking to the Museum?(Required) Individual Vehicle(s) Passenger Van(s) Bus(es)How many buses will you be bringing?(Required)Are you interested in adding an Education Class to your visit?(Required)If so, pricing and more details will be provided. Education selection must be confirmed at least 6 weeks in advance of the date of your group’s visit. Class descriptions available here. Yes NoWhich Education Class are you interested in?(Required)Choose from the linkAre you interested in eating lunch while at the Museum?(Required)No food deliveries or outside orders can be brought in. Menu and details available here. We are interested in purchasing boxed lunches from Nature’s Table Cafe. We will be bringing our own lunches but will need to reserve a space to eat lunch. We are not planning to eat lunch during our visit. OtherAre you State Sales Tax exempt?(Required) Yes NoState Sales Tax Exempt DocumentationState Sales & Use Tax Certificate of Exemption (Form STE-1)Accepted file types: doc, pdf, Max. file size: 50 MB.Any additional notes you would like to add about your group?PHOTO POLICY: The Cook Museum uses visitor photos in various marketing and promotional materials that include, but are not limited to, print materials, websites, blogs, video-sharing sites, and social media. The museum marketing team will ask for a verbal consent before taking, using or sharing the photo(s). At that time, visitors will have the opportunity to refuse having their photo(s) used in any promotional materials.
