Group Visit Request

Group Information

* Name of Group:

* First and Last Name of Contact Person:

* Phone Number:

Phone Number (for Day of Visit):

* Email Address:

Your visit information will be delivered here, including your confirmation message.

* Street Address:

* City, State, Zip:

Fax Number:

* Type of Group:

Other (explain):

Visit Information

* Age Range of Visiting Students:

* Approximate Number of Students in Group:

* Number of Adults:

Teachers, chaperones, etc.

* Visit Options:

Presentation
Campus Tour
Other (Please explain)

Other (explain):

* Date of Visit (first choice):

Date of Visit (second choice):

* Requested Arrival Time:

Comments/Special Instructions: