In-Person Museum on the Move Scheduling Form
2022-2023 School Year
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School Name *
School Address *
School Phone Number *
Teacher First Name *
Teacher Last Name *
Teacher Email *
Person of Contact Email (if different from teacher email)
Grade and Subject Area *
Title(s) of Lesson(s) Desired *
Date(s) Desired *
Class Time(s) *
Number of Students in Each Class *
Technology Available (check all that apply) *
What is the class currently studying or what will they be studying at the time of the lesson? *
Facebook Promotion: Do you grant permission for M&G Education Coordinator(s) to take a photo of the art activities (these would not include any students) for M&G to use on Facebook and other promotional materials? *
Facebook Promotion: Do you grant permission for M&G to mention on Facebook that we are coming to your school (before or after our visit)? *
Additional Comments or Questions
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