Preservation Hall Foundation Lead Form
Event Request
Please fill out the form below to request information about hosting your event.
Your Contact Information
First Name
Last Name
Travel Agency Name (if applicable)
Email Address
Please enter a valid email address.
Location
Preservation Hall Foundation
Phone Number
Ext.
On-Premise Event
School Name
School City/State
Is this request for a public school in Orleans, St. Bernard or Jefferson Parish?
Please select an option
YES
NO
Lead Teacher/Group Leader Name
Event Date
Enter date in MM/DD/YYYY format or click calendar icon
Preferred Time(s)? Note: maximum 60 participants per time slot
9:15am (not available on Wednesdays)
10:30am
11:45am
1:00pm (not available on Sat/Sun)
2:15pm (not available on Sat/Sun)
3:30pm (available only on rare occasions)
Any available time
What grade(s) are your students in?
Pre-K
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Number of Students
Number of Chaperones
What relative/current studies is your class working on? Preservation Hall Foundation can work with you to connect in-classroom learning to your field trip
Will you be attending with students with disabilities that need accommodation? (i.e mobility device access, sensory friendly performance, etc)
Please select an option
YES
NO
If yes, what type of accommodation would best support the related disability?
May we take photos of your groups that, on occasion, could be used for publicity, social media, newsletters and internal documentation?
Please select an option
YES
NO
Would you like to request a grant application for financial assistance?
Please select an option
YES
NO
Website
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