Colonial America School Tour, Grade 5- Fall 2010

Submit this form at least 3 weeks prior to your earliest requested tour date. Registration begins after July 13, 2010. Thanks to recent donations from anonymous donors, the fee for this school tour has been waived for Fall 2010. There is a maximum of 60 students per tour. You must submit separate forms for additional tours. Due to the popularity of our school programs, we may not be able to accommodate all requests. Do not make transportation arrangements until you have received email confirmation of your assigned date.

TOUR SELECTION

You are requesting the Colonial America Tour, which is for students in grade 5. To request a different tour, please visit the Tour Request Page.
CONTACT INFORMATION
Teacher Name * First Last
Email *
Confirm Email *
School Phone *
Alternate Phone
SCHOOL INFORMATION
School Name *
School Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Is your school * Public Private Charter Home School Other
School District
Is your school Title One? * Yes No
GROUP INFORMATION

This tour is only for 5th graders, so please do not request this tour if your students are not in Grade 5.
My students are in 5th Grade. * Yes No
Number of Students (maximum of 60) *
Number of Classes *
Number of Chaperones (required, 1 per 10 students) *
Special Requirements? - If your group has any special requirements or needs please indicate them here.
DATE & TIME

You must choose from the available dates and times in the calendar below.
Date 1st choice * / MM / DD YYYY
Time 1st choice * 9:00 am - 10:30 am 10:30 am - 12:00 pm
Date 2nd choice * / MM / DD YYYY
Time 2nd choice * 9:00 am - 10:30 am 10:30 am - 12:00 pm
Date 3rd choice * / MM / DD YYYY
Time 3rd choice * 9:00 am - 10:30 am 10:30 am - 12:00 pm
I understand that cancellations or schedule changes made less than 3 weeks before my tour date are subject to a $25 fee. * Yes
For security reasons, please complete the Captcha challenge below. If you have trouble reading the words, press the refresh button to see a new challenge or the audio button to hear a new challenge.

Colonial America School Tour, Grade 5- Fall 2010

Colonial America School Tour, Grade 5- Fall 2010

TOUR SELECTION

CONTACT INFORMATION

SCHOOL INFORMATION

GROUP INFORMATION

DATE & TIME

For security reasons, please complete the Captcha challenge below. If you have trouble reading the words, press the refresh button to see a new challenge or the audio button to hear a new challenge.