CONTACT INFORMATION

Full Name (Teacher / Group Leader)

Name of School or Organization

Address

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Phone Number

Email Address

TELL US ABOUT YOUR GROUP

Number of Visitors (Excluding chaperones or escorts)

Grade Level (For groups with multiple grades, please choose best fit)

Please Select Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade

Desired Arrival Time

Please Select 8:00 am 8:15 am 8:30 am 8:45 am 9:00 am 9:15 am 9:30 am 9:45 am 10:00 am 10:15 am 10:30 am 10:45 am 11:00 am 11:15 am 11:30 am 11:45 am 12:00 pm 12:15 pm 12:30 pm 12:45 pm 1:00 pm 1:15 pm 1:30 pm 1:45 pm 2:00 pm 2:15 pm 2:30 pm 2:45 pm 3:00 pm 3:15 pm 3:30 pm 3:45 pm 4:00 pm

Desired Date (Please provide three in order of preference)

1st Choice:  

2nd Choice:  

3rd Choice:  

PROGRAM VENUE

Midway Village Museum offers both onsite programs at Midway Village Museum and outreach presentations. Please let us know whether you would like to bring your group to Midway or prefer to have us come to you. Both options will be provided in the next section (please choose ones for the venue selected).

Visit Museum
Come to Our School

MUSEUM STORE VISIT

We hope your group will be able to visit our Gift Store, do you have any restrictions on them doing so?
Yes
No

EDUCATOR PACKAGES

BRING YOUR STUDENTS TO MIDWAY

Tour

Museum Tour: Immigration & Culture - Year round (Grades 1 - 12)   General Museum Tour - Year round (Grades 1 - 12)   General Village Tour - Apr. to Nov. (Grades 1 - 12)   Village & Museum Tour - Apr. to Nov. (Grades 1 - 12)   Down on the Farm Tour - Apr. to Nov. (Grades K - 2)   Old Stone School Tour - Apr. to Nov. (Grades 1 - 8)  

Living History Tour

Little House on the Prairie - Apr. to Nov. (Grades 1 - 12)     Victorian Days - Apr. to Nov. (Grades 1 - 12)   Many Faces, One Community Living History Tour - Year round (Grades 1 - 12)  

BRING MIDWAY TO YOUR STUDENTS

History Talks

The History and Evolution of the Pledge of Allegiance (Grades 1 - 12)     Sock Monkey History (Grades 1 - 12)   Vintage Baseball (Grades 1 - 12)   The Remarkable Bessica Medlar Raiche: First Woman Aviator of America (Grades 3 - 12)   The History of the Rockford Peaches (Grades 3 - 12)  

OUTREACH PRESENTATIONS AND LECTURES

Traveling Trunks

Civil War: For Lincoln and Liberty (Grades 4 - 12)     Creating Community (Grade 3)   Etiquette and Parlor Games (Grades 1 - 6)   The History of the Rockford Peaches (Grades 1 - 12)   Many Faces of Illinois: Immigrants and Culture (Grade 3)   Local Life (Grade 3)   Queen City of the Prairie (Grades 1 - 12)   The Rockford Connection: Archaeology (Grades 4 - 12)   School Days (Grades 1 - 8)   Sock Monkey and Rockford’s Industrial Past (Grades 1 - 12)   World War II: Rockford’s Own Witnesses to War (Grades 6 - 12)   Camp Grant During World War I   Immigration to Rockford  

ADULT TOURS

Village   Museum   Village & Museum  

Comments (additional info, etc.)