School Tour Reservation Form

All fields are required unless otherwise indicated.

School Information

School Name:

School Phone Number:

Street Address:

Country:

City:

State:

Zip:

Type of School:

Teacher's Name:

Teacher's Cell Number:

Teacher's Email:

Best Time Of The Day To Reach Teacher:

Organizer's Name:

Does your school have Title 1 Status?
YesNo

Group Information

Number of Students:

Grade of Students:

Number of Chaperones:

Number of paraprofessionals or teacher's aides attending:

Tour Selection and Date

Tour Type:

Preferred Date:

Preferred Time:

Date Choice #2:

Time Choice #2:

Date Choice #3:

Time Choice #3:

I understand that all program participants – teachers and students – will need to use Zoom to participate in this virtual program:
Yes.I Will Need to Use a Different Platform.

Please specify your alternative platform if you requested one above:

Virtual tour link:
I will create one and send to the Eldridge Street educator.I would like the Eldridge Street educator to create one and send to me.

How did you hear about us?

Have you visited us before?

About your students:

Additional information:
Please include what your class is studying and your goals for your visit.

Validation question:
Please use numerals, not letters.
What is 8 plus 3 minus 4?

	Museum at Eldridge Street 12 Eldridge Street New York, NY 10002

	Museum Site: 212.219.0302 Administrative Office: 212.219.0888

	contact@eldridgestreet.org

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