Education Programs and Field Trips
Reservation Request Form

THIS IS NOT A RESERVATION!

This is only a request for a reservation.
You will be contacted to discuss your request.
Please be assured that we will get back to you.

Requests for reservations through the Foundations for Kids program must be made through the Education Department. Please contact Education Program Services directly by calling (508) 746-1622, extension 8359 or via email at programservices@plimoth.org

If you prefer, you can fax your request to (508) 830-6022. Please be aware that you may not get the time you requested. Our programs fill up quickly, especially in the peak fall season. Be assured that we will do our best to accommodate your group as close to the requested time as possible.

This is NOT a Reservation!

Group Name:
School Name:
Name of Contact Person:
Position (PTO, Teacher etc.)
Address:
City:
State:	AL AK AZ AR CA CO CT DE DC Fl GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VA VT WA WV WI WY GU PR VI AB BC MB NB NF NT NS ON PE QC SK YT
Zip Code:
Country:
Email:
Daytime Phone (M-F):	Ext.
Fax :
Date Requested :	mm/dd/yy (note: please enter the date you would like the program, not today's date)
Program Requested	select program Colonial Classroom Visit Wampanoag Classroom Visit Colonial Traveling Workshop Colonial Overnight Wampanoag Overnight Wampanoag Field Trip Enhancement Winter Workshop Scout Meeting
Second Choice	select program Colonial Classroom Visit Wampanoag Classroom Visit Colonial Traveling Workshop Colonial Overnight Wampanoag Overnight Wampanoag Field Trip Enhancement Winter Workshop Scout Meeting
Third Choice	select program Colonial Classroom Visit Wampanoag Classroom Visit Colonial Traveling Workshop Colonial Overnight Wampanoag Overnight Wampanoag Field Trip Enhancement Winter Workshop Scout Meeting
Number of Adults:
Number of Children:
Age/Grade of Participants
Have you ever participated in one of our programs before?:	yes no
Last date that you have hosted our programs:	mm/dd/yy
Comments/Special Needs:
Would you like to be added to our Education mailing list?	yes no

Remember, this is not a Reservation! This is only a request for a reservation.

Education Programs

hours: from 9:00 am to 5:30 pm, 7 days a week March 22 through November 30, 2008
address: 137 Warren Avenue, Plymouth, MA 02360 USA
telephone: 1 + 508 746 1622