Page Museum Education Department - School Reservation Form

PAGE MUSEUM AT THE LA BREA TAR PITS
School Programs Reservation Form
Please read the program information on the previous pages and then fill out this Reservation Form. Mail or fax the completed form to the Page Museum Education Department at (323) 857-5211. Please keep a copy of this form for your own records. Note that requests must be received at least three weeks prior to your visit.
**LAUSD schools must book through the School Journeys office at (323) 342-1342**

SCHOOL INFORMATION (REQUIRED):

Your Name: ___________________________________________________________________

Your Email Address:
___________________________________________________________________

School Name: ___________________________________________________________________

School District: __________________________________________________________________

School Mailing Address: __________________________________________________________

City:______________________________________________________ Zip:_________________

School Phone Number: _____________________

School Fax Number: __________________

Supervising / Head Teacher: _______________________________________________________________

Cell phone required for guided tour reservations : ________________________________________________

Grade: _____________ Number of Students: ___________ Number of Adults:___________

Special Needs (AP, ESL, Special Education, etc.): ___________________________________

SCHOOL VISIT RESERVATIONS (Preferred Date and Time of School Visit):

1st Choice (date & time):___________________________________________________

2nd Choice (date & time):__________________________________________________

3rd Choice (date & time):___________________________________________________

Thank you very much. We will email or fax you to inform you of your scheduled date and time with your admission ticket and a pre-visit information packet. We look forward to seeing you at the Page!