Field Trip Request Form

Tour Operator / Tour Company Information

If you are completing this form as an employee of a professional tour operator or tour company, please provide the following information:

Are you part of a professional tour operator or tour company?*

Yes

School / Group Contact Information

First Name:*

Last Name:*

Email:*

Phone Number:*

Phone Type:*

Cell

Work

Home

School/Group Name:*

School District:

(if applicable)

School/Group Address:

Street Address:*

City:*

State/Region:*

Zip Code:*

Visit Information

Preferred Program:*

Discovering Free Speech: What Does It Mean for You and Me?

Self-Guided Visit

Other

Number of Youth (age 6-17):*

Number of Adults:*

We require 1 Adult for every 10 Youth, with complimentary admission offered for each Adult. Additional Adults are welcome at a rate of $11 per Adult for Guided Programs and $10 per Adult for Self-Guided Visits.

Grade Level(s) of Group

(Select all that apply) Please note: Our field trip programs are designed and recommended for a 4th-12th grade audience. If your group primarily consists of students who are older than 12th grade, please consider our Group Tour options instead. If your group primarily consists of students younger than 4th grade, our programs and exhibitions may not suitable. Feel free to reach out to tours@libertymuseum.org with any further questions.

Will any members of your group require accommodations to participate in the tour or program?*

Yes

Maybe

Please select your top 3 choices for the date of your visit:
We will do our best to accommodate your group on the dates you select. All group visits are subject to availability.

Date of Visit (1st choice):*

Month/Day/Year

Date of Visit (2nd choice):*

Month/Day/Year

Date of Visit (3rd choice):*

Month/Day/Year

Please select your top 3 choices for the start time of your visit:
We will do our best to accommodate your group during the times you select. All group visits are subject to availability.
If your specific time is not listed below, please request it in the "Questions or Comments" section at the end of this form.
Please note: if your group is larger than 80 people, we may need to split your visit over multiple reservation times.

Program Start Time (1st choice):*

Program Start Time (2nd choice):*

Program Start Time (3rd choice):*

On-Site Contact First and Last Name*

Please enter the name of a teacher, administrator, or school faculty member who will be with the group on the day of the visit. We will contact this person for check-in and final details.

On-Site Contact Cell Phone Number*

Do you agree to receive text messages from the National Liberty Museum to the cell phone number listed above?*

Yes

If you do opt in to receive SMS messages from the National Liberty Museum, please note that message frequency may vary, and message and data rates may apply. For assistance, text HELP or email us at info@libertymuseum.org. You can opt out at any time by texting STOP. Messages will only contain information about your upcoming visit and necessary details to help you enjoy your time at the Museum. No sales or marketing messages will be sent. You can view our Privacy Policy and Terms of Conditions on our website at https://www.libertymuseum.org/terms-of-use-and-privacy-policy

Questions or Comments:

Additional Information

If Other, please describe: