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Request Groups Programs

Groups Programs Request

Group Programs Information Request

Please tell us about yourself

Reservation and Billing Contact
Reservation and Billing Contact
First Name
Last Name
Is this contact person also the group leader who will be with the group during this program?
Please tell us who the group leader will be.
Please tell us who the group leader will be.
First Name
Last Name

Please tell us about your organization

Organization Address
Organization Address
Street Address
Address Line 2
City
State/Province
Zip/Postal
Is this a Title I school?
Grade Level
Are you interested in applying for financial aid?
Please tell us which OMSI experiences you’d like.
Great! What would you like to do on your field trip?
Will you need to reserve space in the lunchroom?
Will the traveling education program take place at your organizations address?
Is the location more than 40 miles from OMSI?
Travel fees will apply
What is the address for program?
What is the address for program?
Street Address
Address Line 2
City
State/Province
Zip/Postal
Which Outdoor School site are you interested in?
Program Length
Can you tell us why you’re not applying for this funding?
Please tell us which date(s) you would like.
Earliest possible start time
Latest possible departure time