Music in Motion Program Request Form
Program is 1 hour and 20 minutes long. Maximum group size per session: 30 students (additional days can be scheduled if more). Free bussing funds available! We can reimburse your school for the total cost of transportation.
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Group Leader's Name *
First and Last name
Name of School/Organization *
School address *
City *
Zipcode *
E-mail address *
Cell phone number (in case of emergency) *
Email is our preferred contact for scheduling, but occasionally phone calls are necessary. what is the best time and phone number to call? *
Number of students per class
Date of program (1st choice) *
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Date of program (2nd choice)
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Programs are typically from 9:30-10:50. If you need a different start time please list below.
Number of adults *Please bring one chaperone for every six students* *
Do you have any group members with special needs? *
What are group members' special needs?
We plan to arrive by *
Do you plan to bring sack lunches & eat at museum before leaving?
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How did you hear about the museum *
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