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.Program Selection *45-minute visit to Homestead only ($60 deposit for up to 10 students; additions at $6)60-minute visit to Homestead and The Evergreens ($80 for up to 10 students, $8 per addition)90-minute visit to Homestead and The Evergreens ($90 for up to 10 students, $9 for each addition)A 90-minute visit is appropriate for groups who would like a more in-depth experience, or who would like to engage in additional on-site activities.Preferred Date Please let us know the preferred date for your visit. Groups of 30 or more are scheduled on Mondays and Tuesdays in school year and on Tuesday in the summer. 90-minute programs are also scheduled during these times.Preferred Day(s) *MondayTuesdayWednesdayThursdayFridayPreferred Time *9am9:30am10am10:30am11am11:30am12:00pm12:30pm1:00pm1:30pmAdditional 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? *PhoneSubmit
