Home > Visit > Group Reservation Form
Please fill in the information below.
Group Name:
Tour Company (if applicable):
Have you or your group ever visited the Museum before? Yes No
First Name:
Last Name:
Daytime Phone:
Email Address: (required)
Best method to contact you:
Street:
City:
State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code:
Name
Cell Phone Number
*The "Group Leader" is the person that will be physically with the group on the day of the visit.
Date of visit:
Time of Visit: 10:00 am 10:15 am 10:30 am 10:45 am 11:00 am 11:15 am 11:30 am 11:45 am 12:00 pm 12:15 pm 12:30 pm 12:45 pm 1:00 pm 1:15 pm 1:30 pm 1:45 pm 2:00 pm 2:15 pm 2:30 pm 2:45 pm 3:00 pm 3:15 pm 3:30 pm 3:45 pm 4:00 pm 4:15 pm 4:30 pm 4:45 pm 5:00 pm
Type of visit:
Self-Guided
Hands-On History
Customized Program/Guided Tour
Brave Little Sailors (Grades Preschool-K)
Community and Courage Aboard “Old Ironsides” (Grades K-2)
Simple Machines & USS Constitution (Grades 3-5)
History tells a Story (Grades 3-5)
Join the Mess (Grades 5-8)
War of 1812 - Why Fight? (Grades 9-12)
Number of Adults/Chaperones:
Number of Children/Students:
Students' Grade Level(s):
K 1 2 3 4 5 6 7 8 9 10 11 12 College
Are there group members with special needs that the Museum should be aware of or additional information about your group that you would like our staff to know?
You will not be able to return to this page after clicking submit, so please ensure all of the information above is correct.
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