Personal Information - LLNL | Fun with Science (2026-2027)

Fun with Science
Field Trip Request Form

* Teacher's Last Name:

* Teacher's First Name:

* School Name:

* School DistrictThis question is required.

* Teacher's Work Email:

* Teacher's Work Phone Number:

* Number of chaperones (a minimum of two adult chaperones required per class, no more than 12 adults, please):

* Number of students (max 30):

* Do you have any special requests or information you'd like to share about your class? (Examples: Accessibility accommodations, mobility needs, scheduling considerations, allergies, or other considerations.)

*

Have you previously brought a class for a Fun with Science field trip?

This question is required.

*

If yes, approximately what year?

*

Note to teachers: All adults attending the Fun with Science Field Trip are required to provide personal and government-issued identification information one month prior to the date of the visit. In addition, at the time of the visit, all U.S. citizens, 18 years or older, must present a REAL ID or valid (non-expired) U.S. passport. All non-U.S. citizens, 18 years or older, must present a valid Passport or Permanent Resident (Green) card.

I agree

* Would you like to join the LLNL Science Education Program mailing list to receive announcements about future student programs, workshops, and STEM opportunities?This question is required.

Yes
No

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