Jewish Museum of Florida-FIU Youth Reservation Form

Please complete the information below. You will be contacted to confirm the date and time of your visit. The cost of the visit and tour is $2.50 per student and can be paid by check or credit card on the day of your visit. Please contact Nancy Cohen, nancohen@fiu.edu for additional information.

Name of School
Teacher's Name
Email
Phone Phone - ### - ### ####
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Grade
Number of Students
Requested Date of Field Trip Requested Date of Field Trip / MM / DD YYYY
Time Time : HH MM AM/PM