Museum-on-the-Go Request Form

Please note: This is only a request form, not a confirmation of scheduling, you will be contacted to confirm your requested dates.

All field are required.

School Information
School Address *
School Address
Name of teacher submitting application *
Name of teacher submitting application
Teacher's phone number *
Teacher's phone number
What length of visit are you requesting? *
List as: 1) MM-DD-YYYY 2) MM-DD-YYYY 3) MM-DD-YYYY
Would you like CMOSC to consider your school for scholarship funding? *
If you answered yes to the previous question, you must complete all information below to be considered. If you are not requesting a scholarship, simply hit the submit button at the bottom of the form.
We appreciate your interest in receiving a scholarship from the Children’s Museum of Sonoma County. The primary intent is to minimize the financial barrier and enable schools with limited resources to visit CMOSC. Support is contingent upon the availability of funds and the level of need. We cannot guarantee or predict the availability of funds.
If scholarship funding is not available would you still like to make a Museum-on-the-Go reservation while you pursue other funding options?