National Gallery of Art - Education

School Tour Request Form

Special-Topic Tour
All Grades
Up to 60 students
75 minutes
Meet in West Building, Rotunda, Main Floor or East Building, Entrance (inside)

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.

Requests for tours in fall 2009 (October 5 to December 11) will be accepted from August 1 through November 14, 2009. Requests for tours in winter and spring 2010 (January 11 to May 28) will be accepted from December 1, 2009 through May 1, 2010.

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.

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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