School Programs Reservation Application 2018-2019

Reservations requests are not finalized until you have received an email confirmation. For additional questions please contact the Reservations office at (718)-351-1611 x280 or email reservations[at]historicrichmondtown.org.

A $45.00 deposit is required per group. Your deposit must be received 1 month prior to your visit. Dates not secured by a deposit are subject to cancellation. Admission balance is due upon arrival.

Please submit a reservation form for each class requesting a visit.

If possible, please list the day-of contact for each request.

Name *

Name

First Name

Last Name

How did you hear about Historic Richmond Town?

Email Address *

Phone (for day of trip) *

Phone (for day of trip)

(###)

###

####

Organization Name

Organization Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Organization Phone

(###)

###

####

Is your school Title1? *

YES

NO

Teacher's name

First Name

Last Name

Select a program *

PLEASE NOTE: Open Village (April-June & Nov-Dec ONLY) Workshops & Focus Tours (Jan-Mar ONLY)

Would you like to add an Egger's Ice Cream Parlor component after your trip? *

YES

NO

Preferred Date #1 *

Preferred Date #1

MM

DD

YYYY

Preferred Date #2 *

Preferred Date #2

MM

DD

YYYY

Preferred Date #3 *

Preferred Date #3

MM

DD

YYYY

Start Time *

Number of students *

Number of staff (includes all professional staff)

Number of parent chaperones

Do any students have assistance with mobility? *

Wheelchair

Walker

Other

No

Does your group have special needs/requests?

Paypal deposit button here.