Field Trip Reservation Request Form Please save your completed form and email as an attachment to educationprograms@newseum.org. If you do NOT receive a confirmation email within two business days or if you have any questions or concerns, please contact the Education Department at 202/292-6650. *optional field School Information School: School Name Address: Street Address City School Phone: ( State ) ZIP Code School District School Type (Public/Private/Charter/Home): Grade Level of School: *Title One School (Yes/No): Primary Contact Information Contact Name: Emergency Cell Phone: ( ) E-mail Address: Would you like to receive email communications from Newseum Education? Note: We will not release your information to any outside entity, and will use the data provided here for the purposes that you indicated above. You can view our Privacy Policy here . ____Yes! I’d like to receive information about Newseum Education resources and programs. ____ No, thank you. Field Trip Request Please note that groups must bring one adult chaperone for every 10 students. Contact the education department at 202/292-6650 if you are having trouble with this requirement. 1st Choice Date of Visit: 1st Choice Entry Time: 2nd Choice Date of Visit: 2nd Choice Entry Time: Number of Students: Number of Chaperones: One chaperone for every 10 students will receive free admission. Additional chaperones over the required 1:10 chaperone ratio will be charged $16.50 each. *Student Grades: *Subject Studying: If you would like to add a class to your field trip, please complete the following form. updated 2-2014 Education Programs Learning Center Classes Teachers: When reserving classes, please note the Learning Center capacity is 36 students, or fewer depending on the class. Groups exceeding the Learning Center classroom capacity will be assigned staggered class times based on your group’s window of availability. Note: All class requests must be submitted at least two weeks in advance. Classes Available in the Learning Center Battle for the Bill of Rights (Grades 4-6) Believe It or Not (Grades 6-12) Choose the News* (Grades 5- 9) The Civil War: From the Front Lines to the Front Pages* (Grades 4-12) First Amendment and Tinker (Grades 6-12) Covering a Catastrophe (Grades 8-University) Front Page Frenzy* (Grades 3-6) Introduction to the First Amendment (Grades 5-12) Making a Change: The Civil Rights Movement and the First Amendment (Grades 7 – University) Media Ethics (Grades 6 - University) Photo Ethics (Grades 7 - University) The Press and the Presidency (Grades 6 - University) Speed of News* (Grades 3-5) You Can’t Say That?! (Grades 9 – University) You Can’t Say That in School?! (Grades 7 – University) * -- class size maximum of 30 Class Times in the Learning Center 9:30 a.m. 10:45 a.m. 12:15 p.m. 1:30 p.m. Learning Center Class Requested: Class Name 1st Time Preference: 2nd Time Preference: Other Comments: updated 2-2014 Education Programs Documentary Theater Classes For large groups: If you are bringing more than 36 students and do not want or cannot split them into multiple Learning Center class sessions, we offer some classes in the Documentary Theater. The Documentary Theater capacity is 100 students. Multiple staggered class times can be assigned to accommodate your group. Classes available in the Documentary Theater: Covering a Catastrophe (Grades 8-University) Introduction to the First Amendment (Grades 5-12) First Amendment and Tinker (Grades 6-12) Making a Change: The Civil Rights Movement and the First Amendment (Grades 7University) Media Ethics (Grades 6- University) Photo Ethics (Grades 7-University) The Press and the Presidency (Grades 6 – University) You Can’t Say That?! (Grades 9-University) You Can’t Say That in School?! (Grades 7- University) Class times in the Documentary Theater: 10 a.m. 11 a.m. Noon 1 p.m. 2 p.m. Documentary Theater Class Requested: Class Name 1st Time Preference: 2nd Time Preference: Other Comments: How did you hear about the Newseum? Please check all that apply: Return Visitor Advertisement (TV, radio, metro) WTOP The Washington Post Newseum flier Guidebook Conference Email blast Social network (Facebook, Twitter, etc.) Newseum website Word of mouth Other _______________________ updated 2-2014