Virtual Field Trip with the National Museum of Civil War Medicine

Please complete this form below to request a Virtual Field Trip.
The Museum’s Tours and Reservations Coordinator to get in touch to finalize details.

Not what you were looking for? Click here to learn more about our Virtual Field Trip program.

Request for Virtual Field Trip

Your Name *

Affiliated School

Phone Number *

E-mail Address *

What grade level will the speaker be talking to? *

What would you like the speaker to speak about? *

Approximate Group Size *

How long would you like the presentation to be? *

When will the presentation take place? *

Put your first choice of date and time here

Put your second choice of date and time here

Additional Comments/Questions/Requests

How did you hear about us? *

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