Register Your Kaleideum Downtown Field Trip Online! Fields marked with an asterisk ( * ) are required. Please complete the form below and submit your request to visit Kaleideum Downtown. The Kaleideum Museum Scheduling Coordinator will contact you to confirm your request. Reservations are not confirmed until you receive a confirmation email from Kaleideum. Thank you for choosing to spend your day at Kaleideum! For more information and descriptions of each field trip, please visit downtown.kaleideum.org and download the Kaleideum Educators' Guide under Field Trips. GROUP TYPE DESCRIPTIONS Winston-Salem/Forsyth County Schools Student and teacher admission is free. One chaperone per five students is admitted free ($6 per adult charge thereafter). Bus drivers are admitted free. Additional charges per person/per program apply. School Groups and Home School Groups outside Forsyth County $4 per student admission. Teacher admission is free. One chaperone per five students is admitted free ($6 per person charge thereafter). Bus drivers are admitted free. Additional charges per person/per program apply. School Groups (non WS/FCS) and Home School Groups within Forsyth County $2 per student admission. Teacher admission is free. One chaperone per five students is admitted free ($6 per person charge thereafter). Bus drivers admitted free. Additional charges per person/per program apply. Preschool or Child Care Group $2 per student admission. Teacher admission is free. One adult free per five children ($6 per person charge thereafter). Bus drivers admitted free. Additional charges per person/per program apply. Public Group Ages 11 months and under are free. $7 per person for youth ages 1-19, adults, and seniors. One chaperone per 10 students is admitted free. Bus drivers are admitted free. Additional charges per person/per program apply. School/Group Name*Name of Primary Contact* First Last Email of Primary Contact* School Phone Number*Primary Contact Phone NumberAddress*A bill will be sent to this address if invoice is unpaid at the time of the visit. Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code County*Date Requested - First Choice* Date Requested - Second Choice Date Requested - Third Choice Arrival Time* : HH MM AM PM Departure Time* : HH MM AM PM Will space be needed for lunch?*YesNoGrade Level*Pre-KK1st2nd3rdNumber of Students*Title 1 School?*YesNoHead Start program?*YesNoTotal number of visiting classes*Please list the last name of the Lead Teacher of each class*Separate names by a commaNumber of Parent Chaperones*Please choose your group typeWinston-Salem/Forsyth County Public School GroupSchool Group (non-WS/FCS) or Home School Group within Forsyth CountySchool Group or Home School Group outside Forsyth CountyPreschool or Child Care CenterPublic GroupWill this group participate in a Kaleideum Program?*YesNoSelect a Program or Peppercorn Theatre Mainstage Show of interest*Each program is $5.50 per visitor. Target audience grades are listed next to each program. View our Educator's Guide for more information about programs here. Sound Stories (PreK-2)Legos & Lights (PreK-K)The Greedy Triangle (K-2)Star Gazers (K-3)Grow (PreK-1)Night and Day (K-2)The Curator's Crisis (K-3)The Navigators - available January 1, 2019 (K-2)The Jungle Book - available April 2-5, April 9-12 (PreK-2)Additional comments, questions, or concerns:Once you hit "Submit," you will receive an automatic email confirmation. If you have not received an automatic email confirmation from Kaleideum within 48 hours, please contact Christy Ferguson at (336) 714-7105. Important! Your field trip or group visit to Kaleideum Downtown is not confirmed until you receive a confirmation letter from Christy Ferguson, the Kaleideum Museum Scheduling Coordinator. Please bring this confirmation letter with you to present to the front desk when you come. If you do not receive your letter within one week of booking your visit, please contact Christy via email or phone at (336) 714-7105.