Tour and Workshop Scheduling Form
Museum of Northern Arizona
3101 North Fort Valley Road
Flagstaff, AZ  86001-8348
928-774-5211, ext. 275

Thank you for your interest in the Museum of Northern Arizona.

Please print and complete this form and then return it to Lisa Doskocil  by FAX at  928-779-1527. 
For additional information, please call her at 928-774-5211, ext. 275.

Scheduling of your group visit is contingent upon previously scheduled groups.  Group visits should be scheduled at least 4 weeks in advance.

Date of Visit   ______________________________   

Time of Visit   ___________________________

Group Name  ______________________________    

Contact   _______________________________

Phone Number   ____________________________   

E-Mail    ________________________________

Address   __________________    City   ____________________   

 State  ________       ZIP  ________  

Student Groups 

Grade   __________                                  Number of Students   __________

Number of Chaperones   _________     Total Number of Persons ______________

We require a ratio of one chaperone to six children.  
Chaperones over a 1:6 ratio will be charged at the adult group  rate.

Adult Groups

Number of Adults   ____________            

Will your visit be self-guided?   Yes   _________      No   __________

Please list tour or workshop requests (see Tour Information Page)



Special considerations (wheelchair, lunch, etc.) 


                                                                                              
You will receive an e-mail confirmation with payment procedures.

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