Virtual Class Sign-up Form

Please complete the form below to initiate a Virtual Class request. We will be in touch soon to review your request details and to answer any questions you may have. Submitting this form does not guarantee availability or imply a contract between you and Museum of the Rockies. Thank you!

For descriptions of the Virtual Programs, please visit this link.

Name

School, Institution, or Company Name

Are you a Title I School?

Address

City

Zip Code / Postal Code

Email

Phone

Preferred Date

Preferred Time

Alternate Date

Alternate Time

Number of students or adults viewing (approximate).

Grade or age of viewers.

Virtual Program of Choice? (Please select one.)

With this program, is there anything you’d like us to know about what you are teaching or learning in order to make your program the best it can be?