Mt. Kearsarge Indian Museum Group Reservation Form
Minimum 10 Paying Participants
Email address *
School/Group Name *
Your answer
Contact Person *
Your answer
Mailing Address *
Your answer
Phone *
Your answer
Contact Email *
Your answer
Desired Date for Reservation (Please choose three possible dates) *
Your answer
Arrival Time? *
Your answer
Departure Time? *
Your answer
School grade of children visiting? (if applies)
Your answer
Number of Classes/Groups *
Your answer
Special Needs?
Your answer
Curriculum Focus?
Your answer
Which tour will you be taking? *
* Classroom teacher, assistant teacher, and one-on-one aides are admitted free (max 3 per class). All other chaperones should be entered above and pay accordingly.
* Classroom teacher, assistant teacher, and one-on-one aides are admitted free (max 3 per class). All other chaperones should be entered above and pay accordingly.
How many children under age 12 will be on your tour? (if none, leave blank)
Your answer
How many children between ages 13-17 will be on your tour? (if none, leave blank)
Your answer
How many adults will be on your tour?
Your answer
How many teachers will be on your tour? (if none, leave blank)
Your answer
How many chaperones will be on your tour? (if none, live blank)
Your answer
How many seniors will be on your tour? (if none, leave blank)
Your answer
A copy of your responses will be emailed to the address you provided.
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