Custom Experience Request Form HomeEducatorsCustom Experience Request Form Contact InformationContact Name(Required) School or Organization Name(Required) Address(Required) Street Address City State / Province / Region ZIP / Postal Code Phone(Required)Email Address(Required) Visit InformationNumber 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. MM slash DD slash YYYY Arrival Time(Required)Arrival time must be 10AM or later. Hours : Minutes AM PM AM/PM Departure Time(Required)Departure time must be before 5PM. Hours : Minutes AM PM AM/PM How are you traveling to the museum? Other InformationPlease include any other additional information such as goals, title of your class, etc. EmailThis field is for validation purposes and should be left unchanged.