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Women's Museum of California Virtual Field Trip Request Form
Please fill out the below form to request a virtual field trip! These programs are perfect for school groups, Girl Scouts, and other youth groups. Email
events@womensmuseumca.org
with any questions and check out our website at
https://www.womensmuseumca.org/virtualfieldtrips
for more details.
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* Indicates required question
TOUR INFORMATION
Type of Group
*
School Group or Class
Girl Scout Troup
Other Youth Community Group
Age/Grade Range
*
Your answer
Topics or Programs of Interest (dependent on presenter availability)
*
Marching Towards Empowerment: 19th Amendment and Beyond - U.S. Suffrage Movement (Grades 4-12)
History of the Women's Museum o California (Grades 4-12)
Let's Talk Gendered Language (Grades 8-12)
Rockin' the Political Boat: Women of the Second-Wave (Grades 9-12)
Who Tells Her Story: Oral History Project (Grades 6-12)
Other:
Required
How Many People?
Your answer
Preferred Date for Virtual Field Trip
*
MM
/
DD
/
YYYY
Start Time
*
Time
:
AM
PM
End Time
*
Time
:
AM
PM
ORGANIZATION OR SCHOOL INFORMATION
Name of School or Organization
*
Your answer
Email
*
Your answer
Phone
Your answer
Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Website
Your answer
CONTACT PERSON(S)
First and Last Name
*
Your answer
Email
*
Your answer
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