Leonis Adobe Museum - Field Trip Application

Leonis Adobe Field Trip Application

hanks for visiting us online. Teacher's, please fill out the form below to request a school tour. The cost of the tour is $6.00 per person. For more information please call (818) 222-6511 or email the staff at: schooltours@leonisadobemuseum.org

2013 Application for School Field Trip

Contact Information:

First Name:

Last Name:

Telephone:

( ) - *

Email:

School Information:

School Name:

Address:

City:

State:

Postal Code:

School Tele:

( ) - *

School Fax:

( ) - *

Additional Information:

Grade Level:

Students?

Chaperones?

Please List Three Dates You Would Like to Consider for Your School Field Trip:

1st Choice:

2nd Choice:

3rd Choice:

Visual ID:

» IP: 107.20.7.65 *

^^^^^^^^ NOTE: The Visual ID is case sensitive.

Additional Comments or Questions? *

Max Char:

Program Requirements:

Admission fee is $6.00 per student payable on the day of the tour.
The school is responsible for arranging transportation with its transportation department.
One adult chaperone may accompany every 10 students. Additional parents will not be allowed to tour with the group.

Please let us know of any special requirements your school may have.

LEONIS ADOBE GRAPEVINE