Field Trip Request

Field Trip Request Form

Name*
First Last
School/Organization Name:*
Field Trip pricing is available for schools, government entities, and non-profits.
Organization's Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Organization Phone
Contact Cell (During Field Trip)*
Email*
Confirm Email*
Grade/Age of Children:*
Number of Students*
15 minimum. $14 each.
Anticipated Number of Chaperones*
All chaperons are free! This number includes staff and volunteers.
How will you be traveling to the museum?
List 3 dates, in order of preference, for your visit.*
What is your desired ARRIVAL time?*
- 10:00
- 10:30
- 11:00
- Later (Add time below)
Need a later time?
What is your desired lunch time (if applicable)?
We will reserve an outdoor, covered area for 30 minutes for your group if it is available.
What is your desired DEPARTURE time? (No later than 2.5 hours after your arrival.)
Field Trip Contract
Please mark each box to show that you agree and understand*
- Payment is due on or before the date of your visit. GHCM accepts cash, check, credit card, or purchase order. If using a purchase order, please email it before your trip or arrive with it in hand. Purchase order payment is due within 30 days of receipt of invoice.
- One adult is required for every 4 children in order to qualify for the discounted field trip rate.
- A cancellation fee of 50% of the trip fee will be assessed for trips rescheduled or cancelled with less than 48 hours’ notice. No fee will be charged in the event of Salem-Keizer or Contact’s School District closures due to inclement weather, provided you notify us as soon as possible.
- At any time, any of our exhibits may be closed for maintenance or updating.
- Bus parking is available at Wallace Marine Park's soccer fields in West Salem.
Electronic Signature for Field Trip Contract Above:*
Comments:
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Field Trip Request Form

Field Trip Request Form

Field Trip Contract

116 Marion St NE Salem, OR 97301