School Tours Form

Please use this form to make a request for a school tour at the History Center.

    Your Information

    First Name*

    Last Name*

    Email*

    Telephone*

    Group Information

    Group Name*

    School District

    Address*

    City, State, ZIP *

    Grade Level - check all that apply
    Pre-KK123456789101112

    Program Information

    Tour Selection:

    Beyond AdversityLegacies of InnovationMany Faces, One CityPittsburgh’s PastimesHistory Highlights


    Number of Students*

    Number of Classes*

    Number of Teachers*

    Number of Chaperones*

    Preferred Dates*
    1.

    2.

    3.

    Time of Arrival*:

    Time of Departure*:

    Transportation
    School busMotor coachVan or carPublic transportationOther

    Would you like students to visit the Museum Shop?

    YesNo

    Add Special Needs or Accommodations*

    My group includes:

    Students with sensory sensitivitiesStudents who are deaf or hard of hearingStudents with vision lossStudents with intellectual disabilitiesStudents who are non-verbalStudents who are non-readersStudents who have limited motor skillsStudents who require extra time for tasksEnglish language learnersA person who uses a wheelchairMy group does not need any of these accommodations

    Is there anything else you want to tell us about your group?

    Do you want to sign up for the History Center's teacher email newsletter?

    YesNo