School Tour Request Form
Please remember that tour dates are not reserved until a preconfirmation email is sent to the address listed.
A one-hour lunch is automatically scheduled for your group.
School/Group Name *
Your answer
Grade Level *
Your answer
Type of School
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Contact Person *
Your answer
Email *
Your answer
Telephone Number *
Your answer
Number of Students *
Your answer
Number of Classes *
Your answer
Number of Parents (please limit to 1 per class)
Your answer
Preferred Date *
MM
/
DD
/
YYYY
Second Choice Date *
MM
/
DD
/
YYYY
Third Choice Date
MM
/
DD
/
YYYY
Start Time (9:30 is the earliest time to begin) *
Time
:
Departure Time *
Time
:
Star of the Republic Museum *
Required
Star of the Republic Museum: Choose Program (Choose 1)
Barrington Living History Farm (Closed Mon/Tues) *
Required
Barrington Living History Farm
Independence Hall *
Required
Independence Hall (tours may be changed without notice) Select 1
Would you like to visit the Gift Shop? *
Required
Would you like to schedule self-guided Trail Time? *
Required
Would you like to reserve a covered pavilion at the picnic area for an additional fee?
Notes or Special Requests
Your answer
I understand that payment is due one-week prior by check or credit card or the tour will be cancelled. *
Required
Submit
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