On Your Campus Request Form

See pricing information here. If you'd like to request information regarding Outreach, please call 214-428-5555, ext. 8.

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* School/Organization Information

Name

Address

County

City

State

Zipcode

Phone

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* Primary Contact

Name

Phone Number

Event Information

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* Grade Level

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* Number of Students

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* Number of Chaperones and Teachers

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* Special Needs

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* Dallas ISD LearningPartners Voucher Number and Approval Code

The Perot Museum offers financial assistance to qualifying schools for Museum educational programming. To inquire about funds to help offset the cost of your field trip, please choose Yes below, then you'll have an opportunity to apply for financial aid at the end of this form.

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* Are you submitting a Financial Aid Request?

Preferred Visit Date

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* Choice 1

Date

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* Choice 2 (optional)

Date

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* Start Time

Program Selection

On Your Campus Request Form

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* School/Organization Information

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* Primary Contact

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* Grade Level

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* Number of Students

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* Number of Chaperones and Teachers

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* Special Needs

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* Dallas ISD LearningPartners Voucher Number and Approval Code

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* Are you submitting a Financial Aid Request?

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* Choice 1

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* Choice 2 (optional)

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* Start Time

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* Program 1

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* Program 2 (optional)

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* Additional Notes