1. Name of organization
2. Organization address
3. Organizer's name
4. Organization's phone number
5. Organization's fax number
6. Organizer's cell phone number
7. Organizer's e-mail address
8. Are you calling from a nonprofit organization? Yes No
9. Tell us a little about your organization and the constituents it serves.

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 — An 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.
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. Any disabilities or special needs? Yes No
7. If yes, please describe
8. Other information that you would like us to know.