Field Trip Educational Scholarship Form

Source Code (If Applicable)

Source Code (choose 'Not Applicable' if you do not have one)

Have you already booked this trip with a Reservations Specialist?*

McWane Science Center’s Education Scholarship Fund can be utilized to assist with the cost of field trips and outreach programs. Funds are limited and will be offered on a first come first serve basis for Title I and other qualifying schools and organizations in Alabama. McWane Science Center’s Education Scholarship Fund will cover the cost of a reserved program, but will NOT cover the cost of an IMAX movie.

School/Group Name*

Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

School/Group Phone Number*

Group Type*

School District*

School County*

Bookkeeper Name*

Bookkeeper Phone Number*

Bookkeeper Email*

Tax Exemption*

Is your school or group tax-exempt in the state of Alabama? If uncertain, choose "No"

Yes

No

Tax Exempt Form

Per state law, please provide a copy of your tax exempt status form valid in the state of Alabama. If not readily available, you can get this to us at a later date.

Max. file size: 400 MB.

How Did You Hear About Us?

Contact Information

Organizer Name*

First Last

Organizer Phone*

Alternate Phone

Organizer Email*

Will the trip organizer be on-site for the field trip?*

On-site Contact Name*

First Last

On-site Contact Phone*

Must be a cell phone number

Activities & Programs

Adventure Halls Only / Combo / IMAX Only?*

A reservations specialist will follow-up to discuss film options and schedule availability prior to finalization of this reservation.

Would you like an education program?*

Yes

No

$2 per student. Subject to availability. Standards-based programs can be found in the Education Guide. Educational programs unavailable during summer months.

A reservations specialist will follow-up to discuss programming options and schedule availability prior to finalization of this reservation.

Lunch Options*

Field Trip Educational Scholarship Fund Application

Contact Information

Field Trip Information

Activities & Programs