School Tours & Youth Groups – Reservation Request

School/Group Name *

School District

Contact Name *

Email Address *Please be sure to double-check email addresses for accuracy as status notifications will be delivered via email.

Phone *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country *

Proposed Date of Field Trip *

Arrival Time *

Hours

Minutes

Departure Time *

Hours

Minutes

Number of Students *

Grade Levels Attending

Pre-KK-2Grade 3 - 5Grades 6 - 8Grades 9 - 12Please check all grade levels that are attending the trip.

Number of Chaperones *

Total Group Size *

Accessibility *Please list accessibility information/needs. (Type 'N/A' if not required.)

Requested Activities *

Introductory Video (not recommended for youth under 3rd grade.)Guided Village TourEducational Scavenger HuntHands-on Activity e.g. butter-making (addt'l $2/person)Self-guided/Audio Tour (No historic building access.)Museum Store Visit$5 Souvenir PacketThis is a list of available field trip activities. Please choose all that apply. Unless otherwise indicated, there is no extra charge.

Lunch On-site? *We have two outdoor eating areas with picnic tables as well as limited indoor space.

Acknowledgement: I understand that this form is not a confirmation for my proposed visit. The Museum Educator will contact me shortly to discuss details and confirm date/visit. *

Yes.