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Home » Visit » Group Visits » Class Request Form

Class Request Form

Please contact education@bostonathenaeum.org if you have any questions.

Instructor name *

School/Organization *

Address 1

Address 2

City

State

ZIP Code

Phone *

Email *

Course title *

Number of students *

Number of faculty & staff *

Grade level of students (check all that apply)

Elementary School
Middle School
High School
Undergraduate
Graduate
Other

Please provide three possible dates and times for your class in order of preference. *

Please provide a brief description of your learning goals and types of materials you would like to use. *

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