University of Kentucky Art Museum
Rose Street and Euclid Avenue
Lexington, KY 40506-0241		 Phone: 859-257-6199
Fax: 859-323-1994

MUSEUM TOUR REQUEST FORM

Please return this form by mail or fax to the Education Department of the University of Kentucky Art Museum.

I. General Information

Name:                                                         School:                                                    

Grade:                      Number of Students:                 Special Needs:                           

Address:                                                                                                                     

City:                                                            State:                     Zip:                            

County:                                                       Principal:                                                 

Phone:                                    Fax:                                    E-mail:                               


II. Type of Tour Requested:

General Tour:              Writing Tour:              Drawing Tour:              Young at Art:          


III. Dates Requested:

First Choice Date:                                                       Time: 9:30  10:30  11:30

Second Choice Date:                                                  Time: 9:30  10:30  11:30

Third Choice Date:                                                      Time: 9:30  10:30  11:30

Fourth Choice Date:                                                    Time: 9:30  10:30  11:30