Group Visit Request Form

Contact Information

School, Organization or Group Name

School, Organization or Group Address

Country

Street

City

Region

Postal Code

Contact First Name

Contact Last Name

Contact Title

Contact Email Address

Contact Phone Number

Alternate Phone Number

Tell Us About Your Group

Grade Level of Students Attending
These visits are for 8th - 12th grade students only.

Number of Students Attending

Number of Chaperones Attending
You must have at least one chaperone for every ten students.

Any Additional Information About the Group?
(For example: Are these honor students? Are they all from a business class? Would they benefit from learning about HEOP?)

Visit Preferences

First Choice Date

Time

Second Choice Date

Time