Organization and Contact Information

School/Organization NameSchool/Organization Street AddressCityStateZip CodeContact Person First NameContact Person Last NameContact Person TelephoneContact Person Email

Field Trip Information

Number of Children (Maximum of thirty (30). For larger groups, please request two or more dates or time slots. Contact Us to discuss options.)Grade Level for Children in GroupNumber of Teachers/Chaperones (1 per 10 children is required)Please describe any special instructions/needs such as allergies and accommodations

Field Trip Request Date/Time

1st Choice Date/Time

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3rd Choice Date/Time

Note: Your Field Trip request is not confirmed until your deposit is received.

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Northern Virginia Science Center Foundation is a 501(c)(3) non-profit organization that operates the Children's Science Center Lab at Fair Oaks Mall and STEM programs traveling to schools and other community venues across the region. The Foundation is also developing the Northern Virginia Science Center in Dulles, VA, a world-class, interactive regional science center for families, students and learners of all ages made possible through a pivotal public-private partnership. Learn more about our mission today at childsci.org and our vision for the future at novasci.org.

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