Please fill out the form below. We will follow up to confirm the date and time of your group visit. Primary Contact Name Organization Email Phone Address Address 2 City/Town State/Province - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP/Postal Code Number of Adults Number of Youth Number of Chaperones When do you plan on visiting the museum? When do you plan on visiting the museum?: Date When do you plan on visiting the museum?: Time Would you like an introduction from museum staff? Yes No Will you be having lunch on-site? The Carle does not have a restaurant, but our Carle Café eating area offers a Berkshire Naturals vending machine, stocked with healthy snacks. Yes (indoors) Yes (courtyard) No How did you hear about us? Questions/Comments Special Needs/Accommodations My school is a Title 1 School and I would like to be considered for a Carle Community Fund Scholarship. A limited number of scholarships are available for field trips and are awarded at random through The Carle Community Fund. To be eligible to apply, schools must be a Title 1 school (all grades, all states). Maximum scholarship amount awarded is $500. When we confirm your visit we will notify you of your scholarship status. Leave this field blank
