Students Field Trip Registration

Order #
Hidden
Current Date
MM slash DD slash YYYY
Student field trip registration for the selected grade level is not currently available.
There are spots remaining for the San Diego Maritime Museum field trip.
There are spots remaining for the USS Midway field trip.
EVENT INFORMATION
Location*
Date*
Coordinator*
Coordinator Email*
STUDENT INFORMATION
Name*
Student First Student Last
Grade Level*
Teacher*
Teacher*
Teacher*
Teacher*
Teacher*
Teacher*
Teacher*
PARENT/GUARDIAN INFORMATION
Name*
Prefix Parent First Parent Last
Phone*
Email*
Enter Email Confirm Email
EMERGENCY CONTACT #1
Name*
EC1 First EC1 Last
Phone*
Email*
Enter Email Confirm Email
EMERGENCY CONTACT #2
Name*
EC2 First EC2 Last
Phone*
Email*
Enter Email Confirm Email
TOTAL
Total
$0.00

CART
Bonita Pumpkin Patch-Student Fee
Price:
Mission San Juan Capistrano-Student Fee
Price:
Sycuan Cultural Center-Student Fee
Price:
Biz Town-Student Fee
Price:
Old Town San Diego-Student Fee
Price:
San Diego Zoo Safari Park-Student Fee
Price:
Camp Marston-Student Fee
Price:
San Diego Maritime Museum
Price:
USS Midway
Price:
DISCOUNT CODE
Discount Code
TOTAL
Total
$0.00
PAYMENT INFORMATION
Credit Card
Card Details
Cardholder Name
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Email Address*
Enter Email Confirm Email

Please enter the email address where you would like your receipt emailed.
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