Agricultural Museum & Learning Center
Field Trip Reservation Form
School Name
Date Requested
*=Required(yes, all three)
First Choice*
Second Choice*
Third Choice*
Classroom 1
# Of Students
Grade
Teacher (First, Last)
First-Time Visitors?
Classroom 2
(Optional - Maximum of one busload per visit)
# Of Students
Grade
Teacher (First, Last)
First-Time Visitors?
Classroom 3
(Optional - Maximum of one busload per visit)
# Of Students
Grade
Teacher (First, Last)
First-Time Visitors?
Helpful Information about students:
School Name
Phone
Address (Line 1)
Fax
Address (Line 2)
City
Zip
Primary Contact Name
Phone
Email
Heritage Complex
4500 S. Laspina Street, Tulare CA 93274 • (559) 688-1030 • (559) 688-5527 Fax
