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Virtual Field Trip Request Form

2. Virtual Field Trip Request Form
   Please note, this is not a confirmation of a field trip date or time. Your field trip will be officially confirmed when you receive a confirmation email, usually within 2 business days. Please check your spam folder as these emails are frequently filtered. If you do not receive a confirmation email, please contact us at grouptours@naperville.il.us.
6. School/Organization Information
8. School/Organization Name*
   Please provide full name of school, i.e. Lincoln Elementary vs Lincoln
10. Street Address*
    Please provide full address including STREET, AVENUE, ROAD, etc.
12. City*
13. State*
14. Zip*
16. School/Organization Phone #: *
17. School District Official Name*
21. Field Trip Requestor Contact Information
23. Contact/Teacher Name Completing Form *
    Confirmation will only be sent to the main contact email address listed above.
24. Contact is the*

    1. Teacher
    2. School Admin Staff
    3. Parent/Volunteer
26. Contact/Teacher Phone #:*
27. #EXT
28. Contact/Teacher Email *
32. Student Information
    How many classes and students do you want to schedule for a program?
34. Grade(s) of Students*
35. Total # of Students*
36. Total # of Classes*
40. Field Trip Program Choice
42. Program Titles and Grade Levels*

    Choose one (1) program for this reservation request. If you want to schedule other programs for other grade levels, please complete a separate request form.

    1. Living History © | 4th Grade - Limited to Naperville Schools
    2. History Station © (formerly School For Tools) | 3rd - 5th Grade
    3. Voices of the Past: Northern Illinois and the Underground Railroad | 6th - 8th Grade
    4. Lessons in Resilience | 6th-9th Grade
44. Field Trip Date Choices
    Enter three (3) program week choices in priority order using the Monday date for each week even if you do not have school on that Monday. Example: Week of 1/18 because the Monday of this week is the 18th. If none of your choices are available, Naper Settlement will contact you with more information about availability
46. Program Week Choices in Priority Order
    Select the dropdown arrow at the right of each field to reveal the calendar icon.
48. Week #1 *
    Week #1
49. Week #2*
    Week #2
50. Week #3*
    Week #3
52. How did you hear about Naper Settlement field trip opportunities?*

    1. Website/Internet Search
    2. Email
    3. Word of Mouth
    4. Social Media
    5. Advertisement
    6. Printed Field Trip Guide in mail
    7. Other
56. Tell us about your classes
    If you need to schedule more than 8 classes of students for this program, please submit a 2nd copy of the form with the additional Class Information.
58. Class #1
    LOCATION (NS USE ONLY)______
60. Teacher Name*
61. Teacher Email*
63. Number of Students*
64. Grade Level*
66. Class #2
    LOCATION (NS USE ONLY)______
68. Teacher Name
69. Teacher Email
71. Number of Students
72. Grade Level
74. Class #3
    LOCATION (NS USE ONLY)______
76. Teacher Name
77. Teacher Email
79. Number of Students
80. Grade Level
82. Class #4
    LOCATION (NS USE ONLY)______
84. Teacher Name
85. Teacher Email
87. Number of Students
88. Grade Level
90. Class #5
    LOCATION (NS USE ONLY)______
92. Teacher Name
93. Teacher Email
95. Number of Students
96. Grade Level
98. Class #6
    LOCATION (NS USE ONLY)______
100. Teacher Name
101. Teacher Email
103. Number of Students
104. Grade Level
106. Class #7
     LOCATION (NS USE ONLY)______
108. Teacher Name
109. Teacher Email
111. Number of Students
112. Grade Level
114. Class #8
     LOCATION (NS USE ONLY)______
116. Teacher Name
117. Teacher Email
119. Number of Students
120. Grade Level
122. Date Request Received____ (NS ONLY)
123. Date Field Trip Confirmation Sent_______(NS ONLY)
125. Li%:_______(NS ONLY)
126. Altru Entry Date______(NS ONLY)
128. Contract Created_______(NS ONLY)
Leave This Blank:


129. 1. Receive an email copy of this form.
130. Email address

     This field is not part of the form submission.

131. Submit

* indicates a required field