Custom Experience Request Form - The Strong National Museum of Play

Contact Name(Required)

School or Organization Name(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Phone(Required)

Email Address(Required)

Number of Participants(Required)

Please describe the type of custom lesson or professional development experience that you would like.(Required)

Preferred Location(Required)

On site (The Strong museum)

Off site

Preferred Date(Required)

Allow 30 days for us to to prepare your custom experience.

Arrival Time(Required)

Arrival time must be 10AM or later.

Departure Time(Required)

Departure time must be before 5PM.

How are you traveling to the museum?

Other Information

Please include any other additional information such as goals, title of your class, etc.

Comments

This field is for validation purposes and should be left unchanged.