Field Trip Request Form – Garner Holt Education Through Imagination

Thank you for your interest in Garner Holt Productions! Please read all of the information included and complete this form to request school and youth group tours and educational experiences. Please complete a request form for each tour you are requesting. For example, if you'd like to come twice, please complete two request forms. Thank you.

Your Email*

Today's Date*

Your Full Name*

Your Title*

What is the best number to reach you by phone?*

What is the name of your organization?*

Street Address*

City & State*

Zip Code*

Which of the following best describes your organization?*
Elementary SchoolMiddle SchoolHigh SchoolCollege/UniversityYouth GroupHome School GroupOther

What is the age range of the target audience for this trip? (minimum age is 5 years old) Mark all that apply*
5-7 years old8-9 years old10-11 years old12-13 years old14-15 years old16-17 years old18 and older

What is the grade range of the target audience for this trip? (minimum age is 5 years old) Mark all that apply*
K1st2nd3rd4th5th6thMiddle School (6th-8th)High School (9th-12th)Other

Tour Details
Please provide some information about your tour preferences.

Please provide your first preference of tour date. (weekdays only)*

Please provide your second preference of tour date. (weekdays only)*

Please provide your third preference of tour date. (weekdays only)*

2-Hour GHP Tour ($20/student)3-Hour GHP Tour & Choice of ONE (1) Hands-On STEAM "Make & Take" Activity ($28/student)4-Hour GHP Tour & Choice of TWO (2) Hands-On STEAM "Make & Take" Activities ($36/student)5-Hour GHP Tour & Choice of THREE (3) Hands-On STEAM "Make & Take" Activities & Lunch Break ($44/student)5-Hour GHP Tour & CODING Experience($52/student)

How many students will be attending? (minimum 20/maximum 150)?*

How many chaperones will be attending? (minimum of 1 chaperone for every 10 students) - Chaperone Charge: $20.00

2-Hour Experience

3-Hour Experience

Which Hands-On STEAM "Make & Take" activity you would you like your students to experience? We will customize the activity for the age of your students. *Please select one (1).

Create Electrical CircuitsCreate Motorized RobotsCreate SculpturesCreate Hydraulic MachinesCreate Pneumatic MachinesFigure Finishing

4-Hour Experience

Which Hands-On STEAM "Make & Take" activity you would you like your students to experience? We will customize the activity for the age of your students. *Please select two (2).

Create Electrical CircuitsCreate Motorized RobotsCreate SculpturesCreate Hydraulic MachinesCreate Pneumatic MachinesFigure Finishing

5-Hour Experience

Which Hands-On STEAM "Make & Take" activities would you like your students to experience? Please select three. We will customize the activities for the age of your students. *Please select three(3).

Create Electrical CircuitsCreate Motorized RobotsCreate SculpturesCreate Hydraulic MachinesCreate Pneumatic MachinesFigure Finishing

5-Hour Experience (Coding)

Which method of payment do you plan to use?*
Organization Check (ASB, PTA, PTO, Booster Club, etc.)Personal CheckBusiness/Company CheckPurchase OrderNot sure yet, but I’ll figure it out.Other

We strive to meet everyone's needs. Do you have any comments, questions or special requests you'd like us to consider?

We want to make sure everyone's experience is great! Do you have any guests who will require special accommodations? If so, please explain.

How did you hear about this opportunity?
An email was sent to me from Garner Holt Productions.An email from GHP was forwarded to me by someone else.I've been on a field trip to GHP before.Flyerco-workerInstagramTwitterFacebookReferred by a Garner Holt Productions EmployeeOther