Name of group/organization

Organizer’s name (The person listed here will be the group leader on the day of the visit)

Phone number

Organizer’s email address

Which date would you like to visit the Museum

First Choice

Second Choice (optional)

Third Choice (optional)

What time of day would you like to visit the Museum?

Please select one of the following that best describes your group Business/OrganizationCollege/UniversityPersonal/FamilyTour OperatorCommunity OrganizationOther Museum employees

Is this your group's first time visiting the Museum?YesNo

TOTAL NUMBER OF PARTICIPANTS

Number of adults

Number of students

Number of seniors (62 and over)

Number of children (18 and under)

PROGRAM TYPESelf-guided- admission onlyGuided tourSpotlight Art Tour

TOUR THEMEPermanent collectionSpecial ExhibitionsArchitectureSpecific artists/works/galleries

Additional information (optional)

How did you hear about group visits at The Parrish?Parrish websiteWord of mouthSocial MediaAttended private Museum-led tour in the pastOther (please specify)