Submit your request in advance of your visit. A confirmation will be emailed to you within 48 hours of submitting your request. Guided tours last about an hour. Minimum group size for a guided tour is 10. Unguided tours may be taken at any time.

School/Group: *

School District:

Contact Name: *

Street Address: *

City: *

State: * - Select -AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWYOther

Zip Code: *

Phone: *

Fax:

Home Phone:

Cell Phone:

Email address: *

Group Information

Total number of people:

Number of Students:

Number of teachers/chaperones:

Grade Levels:

What Civil Rights history has your group been exposed to recently?

Sessions are available Monday through Friday, 9 a.m. to 3 p.m.

Visit Date:

MonthJanFebMarAprMayJunJulAugSepOctNovDec

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Time, 1st choice: - None -9 - 10 AM10 -11 AM11 AM - 12 PM12 - 1 PM1 - 2 PM2 - 3 PM3 - 4 PM

Time, 2nd choice: - None -9 - 10 AM10 -11 AM11 AM - 12 PM12 - 1 PM1 - 2 PM2 - 3 PM3 - 4 PM

Time, 3rd choice: - None -9 - 10 AM10 -11 AM11 AM - 12 PM12 - 1 PM1 - 2 PM2 - 3 PM3 - 4 PM

Visit Date, second preference:

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Time, 1st choice: - None -9 - 10 AM10 -11 AM11 AM - 12 PM12 - 1 PM1 - 2 PM2 - 3 PM3 - 4 PM

Time, 2nd choice: - None -9 - 10 AM10 -11 AM11 AM - 12 PM12 - 1 PM1 - 2 PM2 - 3 PM3 - 4 PM

Time, 3rd choice: - None -9 - 10 AM10 -11 AM11 AM - 12 PM12 - 1 PM1 - 2 PM2 - 3 PM3 - 4 PM

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