1. Name of organization/school/individual
2. Address
3. Name of organizer
4. Primary phone number
5. Cell phone number
6. Fax number
7. E-mail address

Which date(s) would you like to visit the Museum?

1. First choice
2. Second choice
3. Third choice

What time of day would you like to visit the Museum? Please check as many as apply

1. Early morning (9:30–10:30 a.m.)
2. Mid–late morning (10:30 a.m.–12:00 p.m.)
3. Early afternoon (12:00–1:30 p.m.)
4. Mid-afternoon (1:30–3:30 p.m.)
5. Late afternoon (3:30–5:30 p.m.)

Program Type

1. Unguided — Admission only
2. One-part — Includes one museum visit with an hour-long educator-guided tour
3. Three-part — Includes two off-site visits and one guided Museum visit
4. Art Studio — Art Studio is a two-hour program that includes looking at art in the galleries and art-making in the Museum's education classrooms or in the galleries. Students of all levels explore a theme in the Museum's collection and enhance their understanding of concepts by creating their own works of art. Intended for Access school groups.
5. If you would like a multipart program, is your location wheelchair accessible? Yes No

Total Number of Participants

1. Number of adults
2. Number of students
3. Number of chaperones One chaperone per ten students required
4. Number of seniors
5. Age range of participants
6. Do you or members of your group use a wheelchair? Yes No
7. Do you or a member of your group require personal listening devices? Yes No

Tour Specifics Please check all that apply

1. Standard guided tour
2. Touch tour/visual description tour

   One hour Two hours

3. Sign language/tactile interpreted tour
4. Alzheimer's tour
5. Other

We offer tours to people with a variety of disabilities and special needs. In order to provide you with the most appropriate educator for your tour, please tell us about your individual or group disabilities/special needs. Please be as specific as you can.