Historical Museum of Southern Florida

Resources > Education > Programs

2005-2006 Education Programs Request for Reservation

Complete the registration form (please print) to request a reservation for an Education Program. Fax this form to the Historical Museum of Southern Florida, Youth Education Coordinator **. Someone will contact you within 48 hours to inform you of availability or suggest alternate dates.


Name of School


Teacher/Group Leader


Daytime Phone Number / Best Time of Day to be contacted / E-mail


School Address


City State Zip Code


Program


Location (at the museum, at your school or historic site)


Grade(s) / Number of Students / Number of Adults

List your preferences for date and time, programs are typically offered Monday-Friday from 10 am-noon, though alternate times may be available.


First Choice / Date / Time


Second Choice / Date / Time


Third Choice / Date / Time

Thank you for your interest in the Historical Museum's programs.

 
 HISTORICAL MUSEUM
OF SOUTHERN FLORIDA

www.historical-museum.org