College and Graduate Group Visit Request Form

Group Coordinator Name (first, last) *

Daytime Phone Number *

Coordinator Email *

Cell phone number (day-of visit contact): *

School Name *

School Address (city, state, zip) *

Group Escort (first, last)

(If different than trip coordinator)

Number of Students *

If uncertain, please provide your best estimate.

Number of Chaperones *

Trip leader and paraprofessionals are free. One additional chaperone is permitted free-of-charge for every 10 students.

Course Title or Organization Name

Course Connections (if applicable)

Please describe "Other" in notes.

Preferred Date

Please let us know the preferred date for your visit. Groups of 15 or more are scheduled on Mondays and Tuesdays in school year whenever possible, and on Tuesday in the summer.

Preferred Time

Additional times can be added in notes.

About Your Group

Please tell us about your group so we can plan the best trip for you. Are there particular topics you most hope to explore? Please Let us know if you have any accessibility needs.

Notes

Please let us know of any additional requirements for the booking.

How did you hear about group visits to the Museum? *