National Gallery of Art - Education - Exploring Modern Art: Breaking the Rules

School Tour Request Form

Exploring Modern Art: Breaking the Rules
Grades 6–12
Up to 60 students
75 minutes
Meet inside East Building, Entrance

Select a different tour theme

To request Exploring Modern Art: Breaking the Rules 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.

Please fill out the form completely and click "Submit."

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:

ALTERNATE TOUR THEME(S)

To select more than one, hold down the control key (or the apple key on a Mac).

ADDITIONAL TOUR REQUESTS

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

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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