LONGWOOD CENTER FOR THE VISUAL ARTS

REGISTRATION FOR GROUP TOURS

Name of Institution: ______________________________

Faculty Name: __________________________ Phone # ______________

Email: _________________________Fax __________________

Name of Course (level):_____________________

If please list relevant course topics:

Number of Participants*:_______________

*Please allow only 45 people per hour.  Groups of 25 or more will need to be split into two groups to tour the galleries.

Please list any special needs:

Day/Date Time (allow 45 minutes)

First Choice: ___________________________________________________

Second Choice: _________________________________________________

Guided tours are available Monday through Friday 9 a.m. to 5 p.m. Other times may also be available please inquire.

Please schedule tours in advance by completing this form and sending it to:

Museum Educator

Longwood Center for the Visual Arts

129 N. Main Street

Farmville, VA 23901

OR faxing the form to 434-392-6441

Questions: Call LCVA Museum Educator, 434-395-2648