Virtual Travel
  Registration Form

 

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Teacher's Name:
Teacher's Email Address:
School:
School Phone Number: ( ) -
School Fax Number: ( ) -
Grade Teaching:
Number of Students:
(Most sites place a maximum of 35 on the number of student participants to ensure maximum interaction. Once you decide on the fieldtrip, you will be notified of the number of trips you will need to schedule to accomodate the number of students you have.)

Name curriculum area along with exact topic you wish to support with a video conference:
(Ex. Science - cells; History - WWII; Art - Modern)

Month you would like to schedule your fieldtrip:
(Most sites provide pre-teaching materials and so you will want a four (4) week window to ensure that your students are prepared. Ex. Between the middle of March and the third week of April.)

Days of the week, dates, time of day that you do NOT want the fieldtrip scheduled:
(Ex. Mondays and Fridays; March 29 - April 4)

Time of the day you wish to have the fieldtrip:
(This time should NOT include travel time, only actual viewing time. Most fieldtrips are 45 minutes. Ex. Anytime in the a.m. between 9:10 - 11:30 a.m. or must have between 9:15 - 10:10 a.m.)


Upon receipt of your registration form, trip options will be forwarded for you to read. After you choose the fieldtrip, your fieldtrip will be scheduled based on the information you have provided on this form. You will receive a confirmation letter with the date and time of the trip as well as payment information.
Your Virtual Travel Agent