CHEC Program E-Scheduling Form
Please complete the following information and then click the Submit button, to send a Field Trip Request. A CHEC representative will contact you to confirm the details of your visit. Thank you!
* = Required Information
   School Information
School or Organization: *
Street Address: *
City: *
Zip Code: *
School District: *

   Contact Information
Contact Name: *
Email: *
Phone: *  -  -

   Student Group Information
  We reserve the right to combine groups for field trip programming at CHEC.
Number of Students: *    Max = 60 at CHEC or 35 at your school
Grade Level: *

   Select an Event * from either of the two lists.
(map)    Your Group visits CHEC:  
    -OR-
CHEC visits your school:  

   Select the Event Date
  Date Time
 * Date/Time Choice #1:
    Date/Time Choice #2:
    Date/Time Choice #3:
If you need to request another time, please add to the Questions/Comments section.

    Are there any other details to coordinate?
Lunch Room Request:
Questions / Comments:
 Max Length: 300 characters Character Count: