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Fieldtrip Request Form

This Reservation Request form is for "Guided Fieldtrips" only. To make a reservation for a regular fieldtrip please call Group Tours at (434) 984-9880.

A Reservations Representative will contact you within 48 business hours to complete your reservation. This Request is not a confirmed Reservation. Once your program is scheduled, you will receive a contract that must be signed and returned within 2 weeks with a $100 deposit to confirm your reservation. Your reservation will be cancelled if the contract and deposit are not received by the due date.

School Name: Grade Level:
School Address:
City: State: Zip:

Coordinating Teacher/Parent:
E-mail:

School Phone: Ext:
School Fax: Cell Phone:

Tour Company:
Tour Contact Name :
Tour Company Address:
City: State: Zip:

Tour Co. Phone: Tour Co. Fax:

Tour Co. E-mail:

Please check box to select your program.

Roundabout Monticello, grades 3 and up (Max 150)
Childhood at Monticello, grades K-3 (Max. 80)
Daily Life at Monticello, grades 3 and up (Max 100)
Jefferson’s Contributions, grades 3 and up (Max 100)
Jefferson & Architecture, grades 3 and up (Max 100)

A minimum of 15 individuals is required for a guided program.

Number of Students:
Number of Adults (Teachers/Chaperones/Assistants):

Requested tour date choices:
1st:

2nd:

3rd:

Requested Program Start Time:
(We will attempt to schedule as close to this time as possible. Please note: Your group will need to arrive at least 15 minutes prior to your program Start time.)

Latest Departure Time:
(The time your group must be on the bus to depart.)

Special Needs Student(s) Requirements/Other Comments:

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