| Department |
|
|
School/Group |
Leader's Name |
|
Address |
City |
|
State |
Zip Code |
|
Phone |
Email |
| |
|
|
Number of Children |
Grade |
|
Please
list any special needs or disabilities for visit: |
|
| Number of Chaperones
recommended (The adult/student ratio is 1-7. $5 per adult and$1
per student) |
|
|
B. Please
Request the date and day of your visit. | ||
|
First
Choice | ||
|
Day |
Date |
Time |
|
Second
Choice | ||
|
Day |
Date |
Time |
|
Third
Choice | ||
|
Day |
Date |
Time |
|
| ||