Today's Date (required)

Your Name (required)

School Name (required)

School Address (required)

City (required)

State (required)

Zip (required)

Your Phone (required)

School Phone (required)

Your Email (required)

I would like to schedule a visit to the Museum for my group on:

1st Choice

Day and Date (required)

Time (required)

Number of Students (required)

Number of Adults (required)

Age and Grade Level (required)

2nd Choice

Day and Date (required)

Time (required)

Number of Students (required)

Number of Adults (required)

Age and Grade Level (required)

Additional Info:
Requesting Lunch Space (required)

(if yes, preferred time)

I understand that lunch space is limited, and must be reserved and granted on a first come, first served basis. (required)

My best method of contact is (required)
PhoneEmail

(if phone, please give evening number also)

The best time to reach me is (required)