Burpee Education Information Request
Please complete the following request for school, organization, and community group visits or online content release with Burpee Museum in Rockford, Illinois. When you are finished filling out the form, click "submit" to send your request to the Museum's Education office. You will receive an email confirmation of your request.
Submitting a request does not guarantee a Group Visit/Online Content on one of the dates selected. Additional correspondence will be sent to the email provided confirming your group visit details. Please note that advance reservations are required to guaranteed admission for group visits.
(DUE TO COVID-19 REGULATIONS, BURPEE IS CURRENTLY LIMITED TO MUSEUM CAPACITY AT 50 GUESTS DURING EACH TIME SLOT)
Email *
Teacher/Contact Name *
Teacher/Contact Email *
Teacher/Contact Phone
Organization/School Name
Grade Level (s)
Total number in group (approx. is OK)
I am looking for:
Preferred Start Date Option #1
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DD
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YYYY
Preferred Start Date Option #2
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DD
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YYYY
Preferred Start Date Option #3
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DD
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YYYY
Topic(s) of Interest
Would you like to reserve lunchroom space? (in-person events only)
Clear selection
Additional Questions/Comments:
A copy of your responses will be emailed to the address you provided.
Submit
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