Museum Educational Program Request Form
Thank you for your interest in one of the many engaging programs offered by the Black Belt Museum. We have a number of programs developed that can be tailored in to any audience in a variety of settings. Please complete form below in order to request a program. If you have any questions feel free to contact our museum educator Brian Mast. His email is
or call 205-652-5528. Once the form has been processed we will contact you regarding final details for scheduling the program.
Name and location of Your Group/School. Please include grade level(s) if a school
Request a date for your program.
Which program are you interested in?
Dr. Albert Koch and the search for Alabama's State Fossil
18th Century French Marines at Fort Tombecbe
1812 US Regular Soldier in Alabama during Creek War (Living History.)
Fossils of the Black Belt (Includes Dino Dig Kit Request)
Choctaw Pottery Creation (Includes Pottery Kit Request)
Number of Dino Dig or Pottery Kits needed. (Only fill this out if requested above)
Type of Program Engagement
Live In Person
Hybrid (watch a prerecorded video with a live moderator to answer questions)
Any comments or questions for the educator please write them below.
A copy of your responses will be emailed to the address you provided.
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