School Name: District Address: City State Zip COORDINATOR CONTACT INFORMATION Full Name * Email* Phone* TEACHER IN CHARGE DAY OF VISIT: Full Name Mobile Phone Please schedule your visit at least five weeks in advance. Please list three possible dates for your visit (in order of preference):   You will be contacted within three days of submission of this form with available date. If the group has more than 100 students, it must be divided into two visits.   # of Students: Grade Level (grades 3 and above) Expected time of arrival (Tours may begin between 9 am & 3 pm.): Expected length of visit (One to 1 to 1.5 hours is recommended): Special consideration for your group (special needs, other stops, time restraints, interests)   Means of Transportation: Car or Van Bus   Are all students scheduled to arrive at the same time? Yes No If no, please explain: