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Natural History & Fine Arts Museum

School Group Reservation Request

Organization Name:
Address:
City:
State:
Zip:
Group Leader Name:
Phone:
Email:
Grade Level(s) of Group:
Please list three dates that your group would like to visit in order of priority:

Number of:
  Students:     Teachers:     Chaperones:    
One adult chaperone is required for every 8 children
  Field Trip Date Arrival Time Departure Time
Choice #1
Choice #2
Choice #3

Museum Choice:
Kenosha Public MuseumCivil War MuseumDinosaur Discovery Museum

Which program(s) are you interested in taking?


Additional Options:
Lunch SpaceStreetcar

Does your group require any special accommodations?