Community Group Visit Request Form

Organization's Name *

Organization's Address

City *

State *

Zip Code *

Contact Person *

Email Address *

Phone Number *

Who is your contact at the Museum?

Tell us the date and time when you want to visit. The Museum is open Wednesday - Monday from 9:00 am - 4:00 pm.

Visit Date (1st Choice)

Visit Date (2nd Choice)

Visit Date (3rd Choice)

Expected Arrival Time

Expected Departure Time

Tell us about your group!

Number of Classrooms

Grade level, check all that apply.
infant/toddler (ages 0-3)Preschool (ages 3-4)kindergartengrade 1grade 2grade 3grade 4grade 5grade 6grade 7grade 8grade 9high schoolcollegeadults

Preschool Grade:

K0K1

Number of Infants *

Number of Children 1-5 *

Number of Children 6-15 *

Number of Adults *

Please add any questions/concerns/notes for your upcoming visit.

Group Demographics

Boston Children's Museum is committed to providing accessibility to all visitors and actively raises funds to ensure full access. We ask that you provide us with the following information so that we can provide accurate visitor information to our funders. Please indicate which of the following best represents the racial and ethnic heritage of members of your group. All information is voluntary and will remain confidential.

Please estimate the number of children who are:

American Indian or Alaskan Native

Asian

Black or African American

Hispanic or Latino

Native Hawaiian or other Pacific Islander

White

Two or more races

Check here if you prefer not to respond.