Cape Canaveral Lighthouse Home School Tour Request

Cape Canaveral Lighthouse Home School Tour Request
Thank you for your interest in visiting the Cape Canaveral Lighthouse with your home school group! Please be aware that we require a minimum of 10 students. Adults and young children are in addition. Please complete the information needed below and we will reach out to complete the process with you and confirm your date and time, depending on availability.
Home School CoOp / Family Name (please spell out acronyms)*
Public (Title 1)Public (non-Title 1)CharterPrivate
Trip Lead's Name*

First NameLast Name
Trip Lead's Email*
example@example.com
Trip Lead's Phone Number*
Please enter a valid phone number.
Estimated Number of Students (min 10 required)*
Estimated Number of Adults & Young Children*
Student Grade Level(s)*
Are there any special needs or restrictions?*
BusCarBus & Car
Estimated Number of Buses & Cars (total of 25 max)*
Desired Tour Date (Tue thru Sat) - must be at least 3 weeks from now*

MonthDayYear
Date
Desired Time to start tour - mornings only, if possible*

Hour Minutes

AM/PM Option