Virtual Field Trip Request Form

Thank you for your interest in Garner Holt Productions! Please read all of the information included and complete this form to request virtual school and youth group tours and educational experiences. Please complete a request form for each virtual tour you are requesting. For example, if you'd like to have two virtual field trips, 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 SchoolCharter 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 virtual tour date.
(weekdays only)*

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

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

How many students will be attending?*

Check the box below if you would like more information about follow-up activities to be scheduled in the days, weeks or months after your virtual field trip?
I would like more information

Where would you like students’ field trip activity kits to be shipped?
1 or more central locations(i.e. School site, community center, etc.)Directly to students’ homesOther

Which activity would you like to include in your virtual field trip experience? *Please select one (1).

Robotics and EngineeringPneumatic MachinesElectrical CircuitsLifecastingSculpting the Human HeadCranks and CamsCostumingFigure Finishing

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