One Museum Way Corning, New York | 1.800.732.6845 | Contact Us | Back to Main Site

School Group Pre-Registration Form

Please begin the reservation process by completing the form below (bold fields are required).
The Education Department will contact you within two weeks to discuss the details of your visit. Please note that the dates and times requested are subject to confirmation by the Education Department.

School Information
School Name:

Street Address:

City:

State/Province:

Zip Code:

Contact Information
Name:

Position:

E-mail address:

Work Phone: 555-555-5555

Other Phone:

Fax:

Best method and time to contact you:

Tour Information
Grade Levels:
Grades to

Number of Students:

Number of Adults:

Preferred Dates: (mm/dd/yyyy)
1st choice:

2nd choice:

3rd choice:

Time of Arrival:

Time of Departure:

Do you wish to participate in a "Fun with Glass" activity? (more information) Yes, I am interested in the Fun With Glass Program.
No, I am not interested at this time.
Do you intend to eat at the Museum? (more information) Yes, we will bring our own bag lunches.
Yes, we will choose one of your school lunch options.
Yes, we will have lunch on our own.
No, we will not eat at the museum.

Additional Information
Additional questions or comments

Would you like to receive future e-mails about education programs
at The Corning Museum of Glass?
YesNo
Interests/Content of Curriculum