The Bakken Museum

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Field Trip Registration Request Form

Please fill out a separate registration request form for each DAY you plan to have groups attend. For example, if you plan to have four groups attend over two days, please fill out two separate registration forms, one for each day.
The Bakken Museum can accommodate up to 128 students per day.
The Pavek Museum of Broadcasting can accommodate up to 64 students per day. If you plan to visit the Pavek Museum and have more than two groups, please fill out multiple registration request forms, one for each day.
New Scholarship Criteria: Scholarships are limited and will only be available to schools with 60% or more students who qualify for free and reduced lunch. For information about scholarships contact Patrick Tomko at 612-926-3878 ext. 200.
All scholarships have been awarded for 2009. If you are interested in applying for a 2010 scholarship, please complete the online form for 2010.
Click for tips for a successful field trip at The Bakken Museum.

Name & Contact Information

Teacher's Name
(Main Contact)

Full School Name

School District Name

School Address

City

State

Zip

School Phone

Extension or Voicemail

Fax

E-Mail

Summer Contact Information

Preferred Method of Contact

Best Time to Call

Group Information

Total Students

Group Count
(16-32 Students Per Group)

Grade

Registering for Multiple Days?

If Yes, How Many Days?

Other Teachers Attending

Apply for a Scholarship (Based on School FRL Level From Previous School Year)

New Scholarship Criteria: Scholarships are limited and will only be available to schools with 60% or more students who qualify for free and reduced lunch.

Notes/Special Needs (Students with Disabilities, Assisted Learning Devices, etc.)

Field Trip Choices

Scheduling on the SAME DAY

First Unit Choice

AND

Second Unit Choice

Field Trip Date / Time

Month Preference

First Choice