Discovery Tour RegistrationFor Schools & Community Groups Discovery Tours Registration Form ORGANIZATION INFORMATION Organization Name * Organization Address * Organization Address Organization Address Organization Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/PostalPRIMARY CONTACTThe responsible party for booking/reservation/paperworkPrimary Contact Name * Primary Contact Name First First Last Last Primary Contact’s Phone Number * Primary Contact’s Email * DAY OF CONTACT(S) [if different from PRIMARY CONTACT]Name(s) of your staff who you would like to receive future emails and updates.Day of Contact Name(s) Day of Contact Name(s) First First Last Last Phone(s) Email(s) PROGRAM SELECTION & DETAILSListed below are our active programs available to book – if you are looking for a topic not currently listed, please reach out to czampini@delmns.org directly to discuss options.Program Selection * Dino Descendants (PreK-K) Home Sweet Habitat (PreK-K) SENSE-ational Animals (PreK-1st grade) Environments & Survival (K-4th grade) African Animals (1st grade) Exploring Extinction (1st-2nd grade) Cycle of Life (1st-3rd grade) Stones & Bones (4th-8th grade) Delaware & Beyond (All Ages) Self-Guided Tour (All Ages) First Choice Date of Program * Second Choice Date of Program * Grade Range and/or Age Range of Participants * How many classes/group will you be bringing? (recommended group size is 12-25 participants per class/group) * How many total Participants/Students will you have? (If you are able to identify how many are in each class/group, that is also helpful) * How many Adults will you have? * Do your students/participants have any accessibility needs that we should be aware of? (IE: ESL/ELL, non-verbal, mobility needs, special needs, etc.) With your guidance we can modify/accomodate for your learners * ANTICIPATED ARRIVAL TIMEMuseum is open from 9:30 a.m. – 4:00 p.m. Please, be sure to take into account pick up time of buses and travel time as well. Guided programs will BEGIN 15 minutes following arrival and will last for 1.5 hours unless otherwise noted on your chosen program topic. If an earlier arrival/start time is desired than available from selection, or you would prefer to begin your guided program later than 15 minutes following arrival, please include this information in the “Any additional questions or concerns” field below.Anticipated Arrival Time to Museum * 121234567891011 : 00153045 AMPMAPPROXIMATE DEPARTURE TIMEDeparture time is the time the group will be leaving our campus. Please take into consideration that your program will last 1.5 hours (unless otherwise noted) and that you will need additional time to eat lunch and visit the gift shop if these options are chosen. We encourage you to begin exiting the building about 15 minutes in advance (at a minimum).Approximate Departure Time * 121234567891011 : 00153045 AMPMLUNCH/SNACKWe have limited lunch space options on-site: 1. [Year-round] Outdoor picnic areas (we have two) – highly encouraged as long as the weather permits 2. [Fall, Winter, Spring] two indoor classrooms that fit about 30 individuals each 3. [for small groups (fifteen or less participants)] We have a cafe, “Rest, Relax, Recharge” or our back patio 4. As most of these are dependent on weather – our final option is to eat on/in your transportation (on the buses for example)Will your group eat lunch or a snack at the museum? * Yes NoMUSEUM STORE / GIFT SHOPAdults MUST chaperone children. Please, no more than 10 children at a time in the gift shopWill your group visit the Museum Store? * Yes NoGRANT FUNDINGIf you are awarded grant-funding and are offered transportation reimbursement, please be sure to send education@delmns.org your Purchase Order (PO)/reciept for transportation so we can start the reimbursement process Does your organization serve participants who qualify for Free or Reduced Lunch? If so, you may be eligible for Financial Aid! Are you interested in financial aid to attend? We offer funding on a first-come, first-served basis YesNoUnsure If you are interested in financial aid, what percentage of students/participants qualify for Free or Reduced Lunch? (You may be required to provide proof) How did you hear about us? Any additional questions or concerns? Please let us know here Submit If you are human, leave this field blank.