National Gallery of Art - Education

School Tour Request Form

Special-Topic Tour
All Grades

Select a different tour theme

To request a special-topic tour, complete and submit this form at least four weeks in advance of the tour date you are requesting. Our schedule fills very quickly due to the volume of tour requests. Please indicate alternative dates on your form.

Tour requests will be accepted from from August 1 to November 14, 2008, for tours between October 6 and December 12.

Please fill out form completely and click "Submit."

Please describe your special topic:

TOUR DATE

(Click calendar icon to select date)

First-choice date:		Time:
Second-choice date:		Time:
Third-choice date:		Time:

GROUP INFORMATION

Contact person:
Position:	Teacher Parent Administrator Other
Name of school:
	Public Private
School address:
City:
State:
County:
Zip code:
School telephone:
School fax:
Home telephone:
E-mail address:
Preferred method of contact:

Number of students: Grade(s):
(Groups must contain at least ten students)

Number of adult chaperones:
(Minimum of one for every ten students)

CHAPERONE CONTACT INFORMATION

Please provide the name and cell phone number of the adult who will be accompanying the students on their visit.

Name:
Cell Phone:

ADDITIONAL TOUR REQUESTS

If you would like to request additional tours, please fill out the fields below.

*Tours are offered at 10:15 a.m., 12:00 noon, 1:30 p.m., and 2:00 p.m., with the exceptions of the following:

Exploring the Elements of Art (Grades 4–6): 10:30 a.m.

Additional tour:

First-choice date:		Time:
Second-choice date:		Time:
Third-choice date:		Time:

Number of students: Grade(s):
(Groups must contain at least ten students)

Number of adult chaperones:
(Minimum of one for every ten students)

Additional tour:

First-choice date:		Time:
Second-choice date:		Time:
Third-choice date:		Time:

Number of students: Grade(s):
(Groups must contain at least ten students)

Number of adult chaperones:
(Minimum of one for every ten students)

Additional tour:

First-choice date:		Time:
Second-choice date:		Time:
Third-choice date:		Time:

Number of students: Grade(s):
(Groups must contain at least ten students)

Number of adult chaperones:
(Minimum of one for every ten students)

ADDITIONAL INFORMATION FOR SCHEDULER

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