Giertz Gallery at Parkland College Group Visit Request Form

Giertz Gallery at Parkland College Group Visit Request Form
Group visits are free and open to the public. In order to avoid any scheduling conflicts with gallery events, completion of this form is recommended even if a tour guide is not needed.
Name of Group/Class:*
Approximate Number in Group/Class:*
Group/Class Description:
Will this be a self-guided tour?

YesNo, I prefer someone from the Gallery to direct the tour
Leader/Teacher:*
Number of chaperones (if any)
Not including Leader/Teacher
Contact's Phone Number:*

Area CodePhone Number
Contact's Phone on day of arrival:

Area CodePhone Number
E-mail*
Age of Group/Class:*
Is there a particular goal, focus, or purpose for your visit?
We are happy to provide group visits even if your requested time is outside of normal gallery hours (Mon - Thur, 10am-7pm and Sat 12n-2pm), please state your desired time in the "any additional comments" box below. We will do our best to accommodate different times. Thank you!
Preferred Date:*
Time Desired from:*
until:*
2nd Choice of Date:
Time Desired from:
until:
Do you have any special accessibility requests or requirements?
Any additional comments:
Do you need parking directions?

yesNo
What will be your method of arrival?

CarSchool busParkland classPublic transportation
Would you like to be added to our e-mail list to receive news about the Giertz Gallery at Parkland College?

yesNoAlready on the Giertz Gallery's email list.
Thank you for your interest in bringing your group to Giertz Gallery at Parkland College. An autoreply will be sent including a copy of your completed form. An additional email from Giertz Gallery will be sent to confirm the date of your visit with additional information. We look forward to your visit!
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