University Group Reservation Form – Rubin Museum of Art

UNIVERSITY GROUP REGISTRATION FORM

University or College Name(Required)

Professor's Name(Required)

First Last

Phone Number(Required)

Professor's Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Department(Required)

Course Title(Required)

Number of people in your group(Required)

Number of Chaperones(Required)

Has your group been to the Rubin Museum of Art before?(Required)

Yes

Is there anything else you'd like us to know?

Please select one: Guided Tour or Self-Guided Group Visit(Required)

Exhibition of Interest (name of exhibition)

1st Choice Date - The Rubin is closed on Tuesdays.(Required)

2nd Choice Date(Required)

Preferred Start Time for University and School Groups

Additional information: