Staff-Guided Tour Request Form » Norton Simon Museum

Name of School

Contact Person

Phone Number (school/home/or cell)

Fax Number

Email Address

Street Address (school or home)

City, State, Zip

Student Grade Level

Subject

Total Number of Students

Total Number of Chaperons

Chaperone: Student Ratio

Under 6th grade	1 adult for every 5 students
6th - 9th grade	1 adult for every 8 students
10th - 12th grade	1 adult for every 10 students

Group Size

Groups of 15 - 99 Participants
Groups of 100 - 125 Participants

For groups of 100 to 125, please note that the group will be split in
half and asked to arrive at different times. You may choose from
two arrival options; 9:30 and 10:30 or 10:00 and 11:00.

List three possible dates and times in order of preference.
Please note that the Museum is CLOSED on Tuesdays.
Please remember tours are 75 minutes long!

Requested Date 1

Requested Start Time 1

9:30
10:00
10:30
11:00

Requested Start Time 1

9:30 & 10:30
10:00 & 11:00

Requested Date 2

Requested Start Time 2

9:30
10:00
10:30
11:00

Requested Start Time 2

9:30 & 10:30
10:00 & 11:00

Requested Date 3

Requested Start Time 3

9:30
10:00
10:30
11:00

Requested Start Time 3

9:30 & 10:30
10:00 & 11:00

Do you wish to re-enter the Museum after the tour at 12:00 p.m.?

Will you be arriving by bus?

Special Notes