Capitol District Tour Request Form

Section 1: School/ Organization Contact Information

Please tell us about your group.
School/ Organization Contact Information*

School/ Organization Name

Street Address

CityState

Zip Code
School/ Organization County*
Primary/ Day of Contact Information

Please list the primary contact for the visit. We will contact the person named below with any questions or concerns about the visit request and to confirm the appointment.
Primary Contact Information*

First NameLast Name
Primary contact email*
example@example.com
Primary contact phone number*
Please enter a valid phone number.
Will the person listed above be the group leader on the day of the visit?*

Yes, they will be the group leaderNo, I would like to add another contact
Day of Group Leader name*

First NameLast Name
Day of Group Leader email*
example@example.com
Day of Group Leader phone number*
Please enter a valid phone number.

Section 3: A few final questions!
What is the latest time you can depart from Montpelier?*

Hour Minutes

AM/PM Option
You selected to participate in all four of our offerings in Montpelier- please be advised that a schedule containing all of these activities runs for approximately 4.5-5 hours. Please rank the activities below based on preference in case we are unable to fit all four into your schedule.
How do you plan to travel to Montpelier?*

School busMultiple cars or vansPublic transportationOther
Will you need a space to eat lunch while on site?*

YesNo
Our lunch space has a capacity of 60. Your group will need to be split into multiple lunch windows.
Do any members of your group require additional accommodations (MLL/ESL students, wheelchair users, etc.)?*

YesNo
Please let us know how we can best support your students:
Additional questions or comments:
NOTE: If you are planning any additional activities, including meeting with your representatives, please include your plans here so we can schedule your day accordingly.
Should be Empty:

Section 1: School/ Organization Contact Information