Virtual Field Trip Request Form

School/Group Information

School/Group Name *

Grade Levels *

School System

Contact Info

Teacher/Contact Name *

Phone Number *

Email Address *

Address *

City *

State *

Zip *

Scheduling

Please select the field trip(s) you would like to book *

Soldiers Uniform & Equipment (Min. 10; Max. 99; Options for Recorded, Live, or Live w. Recording; 45min – 1hr) House Tour (Min. 10; Max. 99; Options for Recorded, Live, or Live w. Recording; 45min – 1hr) Mound Cemetery Tour (Min. 10; Max. 99; Options for Recorded, Live, or Live w. Recording; 45min – 1hr)

Program Date First Choice *

Program Date Second Choice *

Preferred Start Time *

Preferred End Time *

Number of Students Expected *

Number of Teachers Joining the Virtual Class *

Please tell us a little about your group

My group includes people who are non-verbal My group includes people who are non-English speakers My group includes people who might be sensory sensitive My group includes people with vision loss My group includes people who are hard-of-hearing My group includes people with intellectual disabilities

Virtual Field Trip Cost *

Option 1: Pre-Recorded Programs (Link to recording will be active for 4 weeks from the specified program date and/or time of payment) Option 2: Live Programs (Sessions will utilize The Castle’s Zoom Meeting or Webinar platform based on the preference of the group) Option 3: Live with Option to Record Programs (Recording will be maintained by group without restriction)

Do you have any financial constraints that would impact your ability to book a program? *

Yes No

How do you intend to pay?

I plan to pay now Please send an invoice

Please provide the name of the person the invoice should be addressed to, if different from that provided under “Contact Info”

Please provide the email address to send invoice, if different from that provided under “Contact Info”

Please provide the physical address for the invoice, if different from that provided under “Contact Info”

Additional Comments

Upon submission you should receive an email copy of this form. Once your request has been reviewed (1 – 3 business days) you should receive an email confirmation. (Please check your junk mail folder as The Castle is sometimes filtered into spam.)

Have questions? Contact our Education Director at 740-373-4180.

Be sure to click Submit to enter your information.