Tour Request Form

Your Name:

Your Email Address:

School Name:

School Address:

School City:

School State:

School Zip Code:

School Phone:

Home Phone:

Best time and way to reach you:

# of students attending:

Grades:

Normal 0 This exhibition is intended for students in grades 6-12

# of chaperones:

Normal 0 min. of 1 per 15 students

Total:

Normal 0 max. of 80 people per time slot

Do any of your students have any special needs in which they will require assistance? If so, please explain::

We strongly encourage you to prepare your students before the exhibition.

Would you like a Facing History Program Associate to contact you regarding appropriate materials for use in the classroom?:

Yes

Spread the Word:

The Walmart Foundation is proud
to be the national sponsor of
Choosing to Participate