School Tour Request | Lost City Museum

School Name*

School Address

Street Address Address Line 2 City ZIP Code

Teacher Contact Name*

Teacher Email*

Teacher Phone*

Class/Grade

This is a:

The bus reimbursement program is for public schools only and will not accept private, charter, or home schools.

# of Students

# of Adult Chaperones

Special Needs Students?

Yes
No

Tour Date Requested

Time of Arrival

:

Museum Tour is Requested For:

Time Available for Tour

Are you visiting other museums or activities this day?

Yes
No

Theme or Field of Interest

Once your request is received, you will be contacted by the museum educator or support staff to confirm details of the tour, including any special arrangements you may require.

BUS TRANSPORTATION

Reimbursement for transportation is limited to Nevada public schools only. Private, charter, and home schools, do not fill out this section.

Cost Calculation*

Cost Per Hour

# of Buses Planned or Required

Total Cost Requested for Transportation*

Once approved, a confirmation number will be provided for the reimbursement for transportation. In fairness to all the cost is pre-agreed to and is firm. The museum is not responsible if tour time is extended by circumstances outside its control or delays caused by highway construction or other issues.

For charter buses, a copy of the bus company invoice or quote [estimate] should be provided to the museum at the time of the tour.