Virtual Field Trip Request Form

All Virtual Tour correspondence will come from mailto:museumtours@azleg.gov.

* Required

1. School/Organization Title: *

2. Email Address: *

3. Phone Number: *

4. Preferred Method of Contact: *

5. Physical Address:

6. School District or County of Residence: *

7. Teacher Name/Name of the Tour Contact: *

8. Age/Grade Level: *

9. Number of Students/Attendees: *

10. Are you interested in setting up a live Q&A with a Museum Educator to answer questions post-tour?: *
Yes
No

11. Will your group require tour videos with English or Spanish captions? If yes, please leave details in the comments section below?: *
Yes
No
Other

12. Will your group require additional broadband access support?: *
Yes
No

13. Is your group affiliated with a Title 1 school?: *
Yes
No
Unsure

Additional Comments

Enter the number resulting from the following: three minus one.

If you have any issues using this form, please email your request to museumtours@azleg.gov.