Visionary Visits Application - Philadelphia's Magic Gardens

Name of School/Organization*
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Check here if your organization is a Philadelphia public or charter school.
- Philadelphia public or charter school
Contact Person Name*
First Last
Contact Person Title*
School or Organization Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
In addition to a guided tour, would you be interested in adding on a hands-on activity for a discounted rate?*
- Yes
- No
- I’d like more information
Which hands-on activity would you like to add on to your experience?*
- Mosaic Medallions ($5 per person)
- Mosaic Bottle Cap Magnet ($3 per person)
- Tile Fridge Magnet ($3 per person)
Preferred Date of Visit*
MM slash DD slash YYYY
Preferred Time of Visit*

: Hours

Minutes

AM/PM
Number of Students or Participants*
Number of Chaperones (if applicable)
Age Range of Participants*
How did you hear about Visionary Visits?
Please briefly describe how your students and/or participants would benefit from the tour and why financial assistance is needed.*
Please include any themes you are interested in learning about or how this experience fits into your curriculum.