MOSI
MOSI HCPS Millage Field Trip Partnership Fourth Grade

(HCPS) 4th Grade Millage Group Reservation Form

For immediate assistance, please call 813-987-6000 or toll free at 1-800-995-MOSI (6674)

(HCPS) 4th Grade Millage Group Reservation Form

Please fill out this form to request a Hillsborough County Public Schools (HCPS) 4th Grade Millage Field Trip to MOSI

Acknowledgements

Please review and acknowledge the below information. If you would like to add on any additional programs at an additional fee not covered by the millage rate, please contact our Reservations Department at reservations@mosi.org.

*I acknowledge this field trip is for 4th grade HCPS students ONLY
*I am ready to book my group and understand that submitting this request will result in the creation of a reservation.
*I have reviewed MOSI's Code of Conduct and understand that our group will be expected to follow these rules during our visit.
*I agree to inform MOSI, in writing, should we need to cancel this reservation.

Group Contact Information

School Name*

Street Address*

City*

State*

Zip Code*

Lead Contact First & Last Name*

Lead Contact Phone Number*

Lead Contact Email Address*

Alternate Contact First & Last Name*

Alternate Contact Phone Number

Alternate Contact Email Address*

Reservation Details

Select a Date*

Backup Visit Date*

Estimated Time of Arrival*

MOSI is open daily from 10:00am to 5:00pm. Groups will not be granted entrance prior to 10:00am.

Estimated Time of Departure*

Estimated Number of Children*

Estimated Number of Free Adults* Teachers - 1 per 10 students

Estimated Number of Paid Adults* ($12 per adult) School sites must collect this fee and present payment at the venue on the event date.

Please allow a few moments for your submission to process.
A copy will be sent to the primary email provided.

A Reservationist will contact you shortly with next steps.