Tour & Presentation Request Form

Name

First

Last

Pronoun

She/Her
He/Him
They/Them
Other

Other pronoun

Email

Phone

Are you affiliated with an organization/institution?

Yes
No

Organization/Institution Name

Organization's Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Type of Request

Presentation (Virtual)
Presentation (in-person; limited availability)
Trivia Event (Virtual)
Trivia Event (In-person)
Walking Tour: Church-Wellesley Village (unavailable Nov - May)
House tour (20 people max; limited availability)

Estimated Group Size

Age Range of Group

Is this a school group?

Yes
No

Select the Student Group(s)

Other:

Accessibility: Are there any accessibility requirements or mobility limitations that we should be aware of?

Walking Tour: Consists of 90 minutes of walking and standing on flat terrain; they don't require stairs.

House Tour: The house has 3 stories, but only 2 are accessible with our lift.

Special Interests

Please list any specific archival materials your group would be interested in seeing. You can also search our collections online.

Request a Tour Date (at least 1 month in advance)

Tour Requested Date 1

Date

Time

Tour Requested Date 2

Date

Time

Tour Requested Date 3

Date

Time

Tour & Presentation Request Form

Request a Tour Date (at least 1 month in advance)

Title