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) English LiteratureWritingAmerican History/American StudiesArt/History of Art/Material CultureMuseum Studies/Public HistoryOtherPlease describe "Other" in notes.Preferred Date & Time(s) Preferred Day(s) *MondayTuesdayWednesdayThursdayFridayAbout 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? *MessageSubmit
