School Name

Contact Name

Phone Number

Email

Address

City

State

Zip

Date- 1st Choice (mm/dd/yyyy)

Time - First Choice

Please note: During the school year, campus traffic is severely limited between 1:30 and 2:30 p.m.

Date- Second Choice (mm/dd/yyyy)

Time - 2nd Choice

Please note: During the school year, campus traffic is severely limited between 1:30 and 2:30 p.m.

Number of Adults In Group

Number Of Students In Group

What Grade Are Students In?

Method Of Transportation?

Number of Student With Special Needs?

Type Of Accommodation(s) Needed?

Lunch On-Site?

Yes No

Area(s) Of Special Interest?

Sketching in the Galleries Plaster Cast Collection/Greek Stories The Slater's Around The World Tour Connecticut Artists of the 20th Century Vanderpoel Gallery of Asian Art Gallery of African Art The Norwich Galleries: Art and Industry in the 19th Century Other

If "Other" please comment here with your interests

Your Current/Related Unit Of Study

Curriculum Goals

Please Describe Any Special Accommodations For Your Group

Comments or Questions?