Application Information (
* marked fields are required fields.
)
Requestor's First Name
*
Requestor's Last Name
*
Day-Time Phone Number
*
Address:
*
City:
*
Zip:
*
Email Address
*
Type Of Group
*
Preschool/Headstart
Elementary Lower Grades
Elementary Upper Grades
Middle or Junior High
High School
Young Adult (19-29)
Adult (30-64)
Older Adult (64+)
Name of School, Organization, or Affiliation (if any, ie Girl Scouts, Boys Scouts, Church Group, Camp)
*
Grade Level
*
Number of Adults
*
Number of Children
*
Request Tour - First Choice. Please submit two preferred dates and/or times.
Station#
*
Downtown Station #1 – Broadway
Brookhurst Station #2 – Crescent
Resort Station #3 – S. Clementine
Orange Avenue Station #4 – W. Orange
Kraemer Station #5 – E. La Palma Ave.
Euclid Station #6 – S. Euclid
Stadium Station #7 – E. Ball Rd.
Riverdale Station #8 – E. Riverdale
Anaheim Hills Station #9 – Nohl Ranch Rd.
Weir Canyon Station #10 – E. Monte Vista
Twila Reid Station #11 – W. Orange Ave.
Date
*
Must be submitted 30 days in advance
Day
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Time (example: 9 am – 10 am)
*
Maximum time 1 hour
Request Tour - Second Choice
Station#
*
Downtown Station #1 – Broadway
Brookhurst Station #2 – Crescent
Resort Station #3 – S. Clementine
Orange Avenue Station #4 – W. Orange
Kraemer Station #5 – E. La Palma Ave.
Euclid Station #6 – S. Euclid
Stadium Station #7 – E. Ball Rd.
Riverdale Station #8 – E. Riverdale
Anaheim Hills Station #9 – Nohl Ranch Rd.
Weir Canyon Station #10 – E. Monte Vista
Twila Reid Station #11 – W. Orange Ave.
Date
*
Day
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Time (example: 9 am – 10 am)
*
Maximum time 1 hour
Groups with a desired learning goal or behavioral objective please provide the information in the space provided.
Please list any special needs or considerations:
I have read and understand the guidelines.