Burpee Education Information Request
Please complete the following request for school, organization, and community group visits or online content release with Burpee Museum in Rockford, Illinois. When you are finished filling out the form, click "submit" to send your request to the Museum's Education office. You will receive an email confirmation of your request.

Submitting a request does not guarantee a group visit/online content on one of the dates selected. Additional correspondence will be sent to the email provided confirming your group visit details. Please note that advance reservations are required to guaranteed admission for group visits.
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Email *
Email *
Teacher/Contact Name *
Teacher/Contact Email *
Teacher/Contact Phone
Organization/School Name
Grade Levels (s)
Total number in group (approximate is OK) *
I am looking for: *
Required
Preferred Start Date Option #1

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Preferred Start Date Option #2
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YYYY
Preferred Start Date Option #3
*
MM
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Interested Field Trip(s)
Interested Workshop(s)
Would you like to reserve lunchroom space? (in-person events only)
Clear selection
Additional Questions/Comments:
A copy of your responses will be emailed to the address you provided.
Submit
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