Fieldtrip Request Form

This Reservation Request form is for "Guided Fieldtrips" only. To make a reservation for a regular fieldtrip please call Group Tours at (434) 984-9880.

A Reservations Representative will contact you within 48 business hours to complete your reservation. This Request is not a confirmed Reservation. Once your program is scheduled, you will receive a contract that must be signed and returned within 2 weeks with a $100 deposit to confirm your reservation. Your reservation will be cancelled if the contract and deposit are not received by the due date.

* = required field

School Name

Grade Level

School Address

Street Address

Street Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Adult Coordinator's Name

First

Last

Email Address

School Phone

###

####

School Fax

###

####

Cellphone

###

####

Tour Company Name

Tour Company Contact

Tour Company Address

Street Address

Street Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Tour Company Email

Tour Company Phone

###

####

Tour Company Fax

###

####

Please select a program

40-minute Guided House Tour only, grades K-12

2 ½-hour Guided Roundabout Monticello, grades 3 and up (200 Individuals Max)

2 ½-hour Guided Childhood at Monticello, grades K-3 (100 Individuals Max)

4-hour Guided Thomas Jefferson’s World, grades 3-6 (150 Individuals Max)

A minimum of 10 students and 2 adults is required for a guided program. Program descriptions at School Fieldtrips. Information on Student Scholarships.

Number of Students

Number of Adults (Teachers/Chaperones/Assistants):

Preferred Date *

YYYY

2nd-choice Date

YYYY

3rd-choice Date

YYYY

Requested Program Start Time

(Arrival times are used to base the reservation times for the house tour/school program. We will attempt to schedule as close to this time as possible. Please note: For Education Programs, your group will need to arrive at least 15 minutes prior to your program start time. For Non-Education Programs, your group will need to arrive at least 45 minutes prior to your House reservation time.)

Latest Departure Time (the time your group must be on the bus to depart.)

Special Needs Student(s) Requirements/Other Comments

Celebrating the Fourth

Fieldtrip Request Form

Please select a program