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Please complete the form below.
School Name
Address of School (City, State, Zip)
Lead Teacher Name
*
Lead Teacher Mailing Address
*
City, State
*
Lead Teacher Phone Number
*
Lead Teacher Email Address
*
Mobile Phone Number/Contact Number on day of visit
*
Preferred Date of Program (Note: Your preferred date may not be available. Selecting multiple dates will increase your chaces of securing a field trip)
*
Second Date Choice
Third Date Choice
Preferred Arrival Time
*
Preferred Departure Time
*
Number of Parent Chaperones Attending (Note: For students in grades PreK-2, 1 adult per 5 students is required and admitted free)
*
Number of Student Participants
*
Do you have a Baseball Hall of Fame Membership? (Note: Among other benefits, Hall of Fame Members receive a discount of $1.00 per student)
Yes
No
*
If Yes, Member Name
Form of Payment (Note: All payment must be received on or before the date of the scheduled program)
*
Does your group, or any member of your group, have any special needs that you would like us to be aware of? If yes, please specify.
Will your students be visiting the Museum Store after their program?
Yes
No
Have you ever participated in the Baseball Hall of Fame's Education program before?
Yes
No
*
How did you hear about our education program?
*
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