School Group Ticket Request Form

School Group Reservation Form

School Name: *	School Address: *

School Principal's Name: *	Principal's Phone Number: *
	ext: (ex: 555-555-5555)
Teacher's/Main Contact Name: *	Phone Number: *
	ext: (ex: 555-555-5555)
Email: *	Cell Phone Number:
	(ex: 555-555-5555)
Fax:
(ex: 555-555-5555)

Please choose a ticket type: *

Get a Reserve Ticket if you know the date and time you'd like to visit.
Get a Flex Ticket if you need more flexibility in your arrival.

Reserve Ticket 3-Day Flex Ticket

Specify Arrival Date: *	Time Preferences: *
(ex: 5/30/2009)	First Choice Second Choice Third Choice (ex: 12:30pm)
Pedestal / Museum Ticket: * (subject to availability)
YesNo

Where will your group be departing from? *

I agree to provide one adult leader (over 21 years of age) for every 10 youths below the age of 21. Visitors with the group who are 18-20 years old do not qualify as chaperones. We are a qualified school group, and I agree to provide an official letter from our school or school district to verify this. By submitting this group information and ticket request form, I agree to follow all rules and regulations established by the National Park Service for the operation of the Statue of Liberty National Monument and the Ellis Island Immigration Museum.
Contact Name: *	Today's Date: *