Group Reservation Inquiry/Request Form

Group/School Name *

Contact Person *

Mailing Address *

City *

State *

Zip *

Work Phone *

Cell

Email *

Receive emails about upcoming events and programs *

Yes

No

For Student Groups

Grade Level

# of Students

# of Teachers

# of Additional Adult Chaperones

Do you have students with special needs?

If yes, please elaborate

For Adult Groups

# in Group

For Adults group # of adults

Preferred Date of Visit #1

Month MonthJanFebMarAprMayJunJulAugSepOctNovDec

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Year Year20152016201720182019

Preferred Date of Visit #2

Month MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day Day12345678910111213141516171819202122232425262728293031

Year Year20152016201720182019

Preferred Date of Visit #3

Month MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day Day12345678910111213141516171819202122232425262728293031

Year Year20152016201720182019

Earliest Arrival Time

Latest Departure Time

Please check the programs you are interested in or those about which would like more information

One Day Pass-All Ages

Galleries Pass-All Ages

Governor's Pass-All Ages

A Day in the Life: 19th-Century New Bern - Grades 3-8

Time Traveling Tots

Summer Youth Programs

Purchase Souvenir Grab Bags

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