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

Number of Classes

Preferred Dates*
1.

2.

3.

Time of Arrival*:

Time of Departure*:

Would you like the group to visit the Museum Shop?

YesNo

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?

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

YesNo

Do you want to sign up for Fort Pitt's email newsletter?

YesNo