Form Center

* indicates a required field

2. Please complete the following information.

4. Contact First & Last Name*
5. Organization Name*
7. Address*
8. Address Line 2
10. City*
11. State*
12. Zip*
14. Phone Number*
15. Email Address*
17. Type of Group*
    -- Select One --K-12 SchoolHomeschoolPreschool/DaycareUniversityScoutsAdultOther
18. What grade levels will be attending?

    Select all that apply.

    1. Kindergarten
    2. 1st grade
    3. 2nd grade
    4. 3rd grade
    5. 4th grade
    6. 5th grade
    7. 6th grade
    8. 7th grade
    9. 8th grade
    10. 9th grade
    11. 10th grade
    12. 11th grade
    13. 12th grade
19. Number of Adults in Group*
20. Number of Youth in Group*
22. Is your group tax exempt?*

    1. Yes
    2. No
23. How will you submit your tax exempt certificate?*

    1. Upload now
    2. Email later
    3. Bring it on the visit
24. Please upload your tax exempt certificate
26. Are you interested in an Education Program?*

    1. Yes
    2. No
    3. Maybe/Tell Me More
27. Which program are you interested in?*
    -- Select One --Hands-on Flint Hills (Pre-K-2nd grade)Engineer It! Assembly Line (Pre-K-2nd grade)Cowboys & Cattle Cars: The Making of the Flint Hills (3rd-5th grade)Rockin' Fossils (3rd-5th grade)Engineer It! Windmills (3rd-5th grade)Hands-On Flint Hills (3rd-5th grade)Bringing Archeology Home (6th-12th grade)The Natural Economy (6th-12th grade)A Rocky Start (6th-12th grade)Engineer It! Prosthetic Leg (6th-12th grade)Hands-On Flint Hills (6th-12th grade)I'm not sure

    View a list of Field Trip Education Programs.

28. Admission & Hours

    View information about our group pricing and facility hours. 

30. First Choice Date*
    First Choice Date
31. First Choice Estimated Arrival & Departure Times*
    First Choice Estimated Arrival & Departure Times Start Time

    —

    First Choice Estimated Arrival & Departure Times End Time
33. Second Choice Date*
    Second Choice Date
34. Second Choice Estimated Arrival & Departure Times*
    Second Choice Estimated Arrival & Departure Times Start Time

    —

    Second Choice Estimated Arrival & Departure Times End Time
36. Third Choice Date*
    Third Choice Date
37. Third Choice Estimated Arrival & Departure Times*
    Third Choice Estimated Arrival & Departure Times Start Time

    —

    Third Choice Estimated Arrival & Departure Times End Time
39. Has your group visited the Flint Hills Discovery Center before?

    1. Yes
    2. No
40. Will your group be shopping in the gift store?*

    1. Yes
    2. No
41. Mystery Souvenir Bags*

    Add a fun surprise to your visit with a mystery souvenir bag filled with treasures highlighting the Flint Hills including a sticker, animal figurine, bookmark, field guide, and more. Bags are $5 per person, must be reserved, and payment is due at the time of the visit. Would you like more information?

    1. Yes
    2. No
43. Do you have any special requirements?
44. Do you need time for lunch?*

    1. Yes
    2. No
46. How would you like to receive your confirmation packet?*

    1. Email
    2. USPS (Mail)
47. Picture permission

    We like to take a picture of each group, if possible, for potential marketing, especially on social media. Before you arrive, please check to see if anyone in your group does not have permission to be photographed for marketing purposes. Thank you.

Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit