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


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.



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