Request a Title 1 Field Trip | Glazer Children's Museum

Thank you for considering a Title 1 Field Trip to Glazer Children’s Museum. If you have any questions about this form, call Guest Services at 813-443-3821, email reservations@glazermuseum.org, or education@glazermuseum.org

Organization Information
Full School Name*
County*
Address*
Street Address Address Line 2 City State ZIP Code
Are you a returning school?*
- Yes
- No
Grade Level Attending*
Proof of Title 1 Status*
Max. file size: 512 MB.
Lead Contact Info (Must be attending trip)
Contact Name*
First and last name
Email Address*
Please enter a valid email address
Phone*
(###) ### - ####
Alternate Contact Info
Contact must be someone available to answer phone or e-mail during business hours.
Contact Name*
First and last name
Email Address*
Please enter a valid email address
Phone*
(###) ### - ####
In-Person Field Trip Details
All in-person field trips include an orientation and museum exploration time.
Number of children*
Applies to a minimum of 15 children.
Please enter a number greater than or equal to 15.
Number of buses*
Select Your 2 Preferred Dates For Field Trip
All group reservations must be made a minimum of one (1) week in advance of your earliest desired date.
Date #1*
MM slash DD slash YYYY
Date #2*
MM slash DD slash YYYY
Date #3*
MM slash DD slash YYYY
Time Slot*
Your visit is a maximum of two (2) hours.

Please note, this form is for Title 1 Field Trip Requests only.

Click here to request a field trip for a non-Title 1 School.

Click here to learn about our Digital Field Trips.

If you are ready to request your field trip, please click next.