New York State Museum - GROUP VISIT REGISTRATION FORM

Education :: Group Registration Form
please note: an asterisk (*) denotes a REQUIRED field

SCHOOL INFORMATION
School Name *
Street Address *
City *
County or Province
District
State * or Non-US Country	Zip *	Phone *
Name of Contact Person *
Contact e-Mail Address *

CLASS INFORMATION and MUSEUM PROGRAMMING
	Grade	Group Leader	# Students¹	# Adults²	# Total
Class #1 *
	Museum program desired by Class #1
Class #2
	Museum program desired by Class #2
Class #3
	Museum program desired by Class #3
¹ Pre-K and Kindergarten programs are limited to 20 students per class. All other programs have a limit of 30 students per class. There is no limit to the number of students in a self-guided group. ² Groups attending the Fleet Great Art exhibits must provide ONE adult chaperone for every FIVE children in the group. All other groups must provide ONE chaperone for every TEN children in the group.

DATE OF VISIT (Please provide three possible visit dates in order of preference).
	Date	Arrival Time¹	Departure Time
Choice 1 *
Choice 2
Choice 3
¹ We STRONGLY advise that your group arrive at the Museum at least 15 minutes prior to your program's scheduled start time. If you want a 10:00 am program you should plan to arrive at the Museum no later than 9:45 am. Scheduling limitations do not allow extending program time to groups that arrive late.

LUNCHROOM INFORMATION

Seating is available for those groups that wish to bring lunches and eat them on the premises. Lunchroom seating is limited and is available Monday through Friday from 11:00am to 1:00pm.

Will your group require seating in the Student Center lunchroom?

SPECIAL ACCOMMODATIONS

The Museum and its staff will make all reasonable efforts to accommodate students or groups with special needs. If your group or any of its students require any special accommodations, please describe them below.

Please be Sure Required Fields are Filled in.
If they are not, you MAY have to enter ALL information again

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