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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*
19. Does this school have Title I designation?*

    1. Yes
    2. No
23. Field Trip Requestor Contact Information
25. Contact/Teacher Name Completing Form *
    Confirmation will only be sent to the main contact email address listed above.
26. Contact is the*

    1. Teacher
    2. School Admin Staff
    3. Parent/Volunteer
28. Contact/Teacher Phone #:*
29. #EXT
30. Contact/Teacher Email *
34. Student Information
    How many classes and students do you want to schedule for a program?
36. Grade(s) of Students*
37. Total # of Students*
38. Total # of Classes*
42. Field Trip Program Choice
44. 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. Building Naperville © | 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
46. 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
48. Program Week Choices in Priority Order
    Select the dropdown arrow at the right of each field to reveal the calendar icon.
50. Week #1 *
    Week #1
51. Week #2*
    Week #2
52. Week #3*
    Week #3
54. 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
58. 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.
60. Class #1
    LOCATION (NS USE ONLY)______
62. Teacher Name*
63. Teacher Email*
65. Number of Students*
66. Grade Level*
68. Class #2
    LOCATION (NS USE ONLY)______
70. Teacher Name
71. Teacher Email
73. Number of Students
74. Grade Level
76. Class #3
    LOCATION (NS USE ONLY)______
78. Teacher Name
79. Teacher Email
81. Number of Students
82. Grade Level
84. Class #4
    LOCATION (NS USE ONLY)______
86. Teacher Name
87. Teacher Email
89. Number of Students
90. Grade Level
92. Class #5
    LOCATION (NS USE ONLY)______
94. Teacher Name
95. Teacher Email
97. Number of Students
98. Grade Level
100. Class #6
     LOCATION (NS USE ONLY)______
102. Teacher Name
103. Teacher Email
105. Number of Students
106. Grade Level
108. Class #7
     LOCATION (NS USE ONLY)______
110. Teacher Name
111. Teacher Email
113. Number of Students
114. Grade Level
116. Class #8
     LOCATION (NS USE ONLY)______
118. Teacher Name
119. Teacher Email
121. Number of Students
122. Grade Level
124. Date Request Received____ (NS ONLY)
125. Date Field Trip Confirmation Sent_______(NS ONLY)
127. Li%:_______(NS ONLY)
128. Altru Entry Date______(NS ONLY)
130. Contract Created_______(NS ONLY)
Leave This Blank:


132. 1. Receive an email copy of this form.
133. Email address

     This field is not part of the form submission.

134. Submit

* indicates a required field