Teacher-Guided Tour Request Form

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

List three possible dates and times in order of preference.
Please note that the Museum is CLOSED on Tuesdays.
Groups are not to exceed 125 students.

Requested Date 1

Expected arrival time (after 12:30 p.m.)

Requested Date 2

Expected arrival time (after 12:30 p.m.)

Requested Date 3

Expected arrival time (after 12:30 p.m.)

Will you be arriving by bus?

Special Notes

Norton Simon Museum