Submit a School Program Reservation - Museum at Eldridge Street

All fields are required unless otherwise indicated. Please note that completing this form does not confirm your reservation. Once your request is received by the Museum, a team member will be in touch to discuss details, availability and confirmation.

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?

Group Information

Number of Students:

Grade of Students:

Number of Teachers:

Number of Parents:

Number of paraprofessionals or teacher's aides attending:

The museum is offering in-person tours on a case-by-case basis. If you'd like an in-person visit, you will discuss visiting guidelines with a Museum staff member. Which type of experience would you like to reserve?

Program Selection and Date

Program Type:

Preferred Date:

Preferred Time:

Date Choice #2:

Time Choice #2:

Date Choice #3:

Time Choice #3:

How did you hear about us?

Have you visited us before?

I permit the Museum at Eldridge Street to use photos or screenshots of students in future promotions
YesNo

Please provide any additional information that could help us prepare for your program. This includes goals for the programs and any student needs.