Tour / Program Request Form

Your Information

First Name*

Last Name*

Email*

Telephone*

School Information (if applicable)

School Name

School District

School Address

Age Level - check all that apply
Pre-KK123456789101112CollegeAdultSenior


Number of Students*

Number of Chaperones

Preferred Dates*
1.

2.

3.

Time of Arrival*:

Time of Departure*:

Would you like the group to visit the Museum Shop?

YesNo

Are you also interested in visiting the Fort Pitt Block House?

YesNo
Please note that the Fort Pitt Block House is operated by the Daughters of the American Revolution. Checking this box indicates your interest in touring the Block House during your visit. The Fort Pitt Museum will contact the Block House to coordinate scheduling.

Please briefly explain what you're looking for in a tour or program with the Fort Pitt Museum.*

How did you hear about tours at the Fort Pitt Museum?

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