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

Request for Virtual Field Trip

Your Name *

Affiliated School

Phone Number *

E-mail Address *

What grade level will the speaker be talking to? * Elementary SchoolMiddle SchoolHigh SchoolCollegeOther

What would you like the speaker to speak about? * Mythbusters: The True Story of Civil War MedicineHow Do We Know What We Know: A Primary Source InvestigationClara Barton: Her Life and LegacyCut It Off: An Amputation Demonstration and DiscussionNone of the Above

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? * I've worked with the Museum beforeSomeone I know recommended youI saw the Museum on TVI saw your adGoogleSocial MediaOther

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