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School Group Request Form

Complete and submit the form below at least three weeks in advance of your visit. A confirmation letter, tour guidelines and educational materials will be mailed to you within 72 hours of submitting your request. If the requested times are not available, you will receive a phone call within 72 hours to reschedule.

* = Required Fields  
* School/Group
    School District
* Contact Name
* Street Address
* City
* State
* 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: to

What Civil Rights Movement history has your group been exposed to recently?
Class lessons:
Books:
Films:
Other:

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

Visit date, second preference:

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