Chinese American Museum - Guided Tour Form

Guided Tour Form

School/Organization Name*
Address*
City*
Zip code*
School/Org Phone No.*
School/Org Fax No.
Primary Contact Name*
Primary Contact Cell No.
Best Time to Call
Primary Contact Email *
Type of School*
District*
Is this a Title 1 School?*	(For record keeping only)
Number of Students*
Grade Level
Number of Adults
Number of Seniors (62 and older)
1st Choice of Visit (Date and Time)*
2nd Choice of Visit*
I would like to add on a workshop to the tour
Special Requests