Skip to Main Content
How Do I...
The sign-up or sign-in link in the yellow box below does not apply to Activity Registrations or Rentals. It is simply for being notified of JCPRD updates. Thank you.
Select a Category
Arts & Heritage Center
Bryan's Test Forms
Ernie Miller Nature Center
Facility Rental Weddings & Events
Mill Creek Activity Center
Out of School Time
Park Reservations & Rentals
Parks and Golf Courses
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
Sign in to Save Progress
Johnson County Museum -- School Program Scholarship Application
This form has been modified since it was saved. Please review all fields before submitting.
Teacher's First Name
Teacher's Last Name
Teacher Phone Number
Teacher Email Address
Number of Classes
Total number of students, all classes
-- Select One --
Museum Field Trip - $6 full-price per student
Lanesfield Farm Family - $4 full-price per student
Lanesfield Living History - $150 full-price per class
Select the program you plan to attend.
Title One designation letter
Please upload a copy of the designation letter. School principals typically have this documentation.
Electronic Signature Agreement
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
Leave This Blank:
Receive an email copy of this form.
This field is not part of the form submission.
* indicates a required field
Slideshow Left Arrow
Slideshow Right Arrow