Children & Hospitals Week Registration Form

(Kindergartners only)

Field trip details:

Registration: Opens Monday, Dec. 2, 2019
Location: Louisville Slugger Field
Cost: Free! Schools must cover transportation.
Transportation: Schools are responsible for coordinating their own transportation. Jefferson Transportation is offering a special rate of $175 for the field trip and can stay later than school buses. Call (502) 614-7269.
Lunch: Lunch areas are not available; make alternative plans for lunch. Have a snack before boarding the bus, and eat a sack lunch at a park or classroom after the field trip.

For more information and questions, contact Norton Children’s Prevention & Wellness at (502) 629-7358.

Name of School*
Contact Person*
Email Address*
Street Address 1*
Street Address 2
City*
State*
Zip*
Phone Number*
How would you like to be contacted?*
- Email
- Phone
- Leave message with office
How many classes?
Total number of students attending*

Flexibility is extremely important. The more available dates and times, the better chance of classes being scheduled for the field trip.
Check what day(s) your students CANNOT attend
- Monday, February 24
- Tuesday, February 25
- Wednesday, February 26
- Thursday, February 27
- Friday, February 28
Earliest possible arrival time*
Latest possible departure time*
Additional comments