Group Tour Request

Group/School Name*
Address*
Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code
Teacher/Coordinator
First Last
Teacher/Coordinator Email
Teacher/Coordinator Work Phone
Teacher/Coordinator Cell Phone
Alternate Contact
First Last
Alternate Contact Phone
Authorizing Supervisor
First Last
Authorizing Supervisor Phone
We would like to schedule our group tour on one of the following dates (list in order of preference)
First Choice (Tuesday or Thursday)
Month
Day
Year
Second Choice (Tuesday or Thursday)
Month
Day
Year
Our preferred time of arrival is:
- 9:00 AM
- 11:30 AM
We are interested to participate in the following program:
- Class Curriculum and Gallery Tour ($10 per student)
- Class Curriculum, Gallery Tour, and HotShop Demonstration ($16 per student)
- Class Curriculum, Gallery Tour, and Student Glass Etching ($16 per student)
- Class Curriculum, Gallery Tour, Glass Etching, and Demonstration ($19 per student)
Number of students attending
Total due
$0.00
Payment is preferred prior to the scheduled visit. Ask us about special arrangements.

Due to the nature of the gallery exhibit, DMG School Project requires 1 adult chaperone per 10 students. There is No Charge for the required chaperones.
Number of chaperones
You may bring your own snacks or lunch to enjoy in the garden patio.
Special Accommodations

PROUD SPONSORS

• Maurice A. Rothman & Thelma P. Rothman Family Foundation
• Alvah H. & Wyline P. Chapman Foundation
• CO TUA Charles A. Louffer #1, Bank of America, N.A., Co-Trustee
• Perry & Lisa Everett
• Julia & Gene Sorbo
• Chris and Candace Bergen Foundation
• Milkey Family Foundation

We are able to Demonstrate, Mentor and Grow and continue to produce our programming thanks to the support of the National Endowment for the Arts, Creative Pinellas, and the Pinellas County Board of County Commissioners.

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PROUD SPONSORS

Group Tour Request

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