Pacific Tsunami Museum Group Visit Inquiry
Schedule a group visit and presentation. Contact Heather Weiss at museum@tsunami.org
Sign in to Google to save your progress. Learn more
Email *
Name of School/Group/Institution *
Physical Address *
City, State/Province/Region, Country *
Is your organization in a tsunami inundation zone?

Residents of Hawaiʻi and Guam can find out here: 
https://dod.hawaii.gov/hiema/public-resources/tsunami-evacuation-zone/
 *
Point of Contact *
Mobile Phone (for day of visit) *
Grade Level / Type of Group *
Date of Requested Visit *
MM
/
DD
/
YYYY
Alternate Date of Visit
MM
/
DD
/
YYYY
Alternate Date of Visit
MM
/
DD
/
YYYY
Desired Time of Day

1.5 hours, minimum, is ideal for a group presentation. 
(This includes time for questions and exhibit review.)
 *
Time
:
Alternative Time of Day

1.5 hours, minimum, is ideal for a group presentation. 
(This includes time for questions and exhibit review.)
Time
:
Alternative Time of Day

1.5 hours, minimum, is ideal for a group presentation. 
(This includes time for questions and exhibit review.)
Time
:
Number of children (under 18) in your group *
Number of adults in your group *
Is anyone in your group a tsunami survivor or the family member of a survivor?
Clear selection
If yes to being a tsunami survivor, any details would be helpful.
Will your group require multiple presentations?
 *
Does your group plan to rotate to the other museums of Museum Square on the same day?  *
Required
Where are you visiting us from? *
Kamaʻāina, which island are you visiting us from?
Hawaiʻi Island
Kahoʻolawe
Lānaʻi
Molokaʻi
Maui
Oʻahu
Kauaʻi
Home Island
Clear selection
Do you have a special topic request for your presentation?
Anything else we need to know?  
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Pacific Tsunami Museum Inc..

Does this form look suspicious? Report

Google Forms