Full name*:

School Name*:

Your Email*:

Phone*:

Fax:

Preferred date*:

Preferred time*:

Alternate date:

Alternative time:

Number of Students (under 18)*:
The VHM can accommodate up to 120 students a tour.

Number of Chaperones*:
The VHM can accommodate up to 30 chaperones a tour.

Do any members of the tour group have any special needs or disabilities?*

If you checked yes in the previous question, please provide any additional information that could help us prepare for your visit.

Additional Comments:

Please write this number down for reference later:

* = required fields