Jensen Arctic Museum

Name

First name: *required

Last name: *required

Mailing address: *required if you wish to receive a tour packet

Street address:

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ZIP Code:

Email and phone

E-mail: *required

Preferred phone: *required

Group name:

Requested date of tour:

Requested time for tour:

Number of children:

Grade/age of children: (approximate only)

Number of adults:

What is the class studying?:

Please include a pre-tour packet

(mailed 3 weeks prior to tour date. $25 replacement fee if not returned on day of the tour)

We would like lunch arrangements: please describe any specific wants/needs

Sign language interpreter

We need a wheelchair available, will provide our own assistant

Do you have any comments and/or questions you would like to ask us?