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 305.372.6315. 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