DuPage Children's Museum: Visit DCM

Group Visit Request Form

Today's Date
Contact Information
Group Name*
Contact Person*
Phone*
Fax *
Address*
City*
State*
Zip Code*
E-mail address
Request Information
Age/Grade Level*
Number of classes*
Students per class
Total number of children*
Number of adults*
Note: Group visits require a ratio of at least 1 chaperone per 6 children.
Requested dates:		1st choice*
		2nd choice*
		3rd choice
Requested arrival or program time: See program descriptions for duration		1st choice*
		2nd choice*
		3rd choice
Duration of visit	1 hour
	1.5 hours
Do you want to reserve space for Lunch?	Yes No

*Required field