Field Trip Form

School/Organization Name(Required)

District(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

First Name(Required)

Last Name(Required)

Title(Required)

Email(Required)

Phone(Required)

Estimated Number of Youth(Required)

Estimated Number of Adults(Required)

Grade Level(s)

Date Preferred (first choice)(Required)

Date Preferred (second choice)(Required)

A limited number of transportation stipends are available to those in need.

Is your Title 1 school or group interested in applying for a transportation stipend?(Required)

If you answered YES, please describe your group's financial need:(Required)

If you answered YES, how much are you requesting? (up to $200 per group):(Required)

Changing and Saving Lives Through the Power of Aviation