Form

Giertz Gallery at Parkland College Tour Request Form

Tours are free and open to the public. In order to avoid any scheduling conflicts with gallery events, completion of this form is recommended even if a tour guide is not needed.
Name of Group/Class: *
Approximate Number in Group/Class: *
Group/Class Description:
Will this be a self-guided tour?

Yes No, I prefer someone from the Gallery to direct the tour
Leader/Teacher: *
Contact's Phone Number: *

- Area Code Phone Number
E-mail *
Age of Group/Class: *
If your requested time is outside of normal gallery hours (Mon - Thur, 10am-7pm and Sat 12n-2pm), please state your desired time in the "any additional comments" box below. We will do our best to accommodate your needs. Thank you.
Preferred Date: *
Time Desired from: *
until: *
2nd Choice of Date:
Time Desired from:
until:
Is there a particular goal, focus, or purpose for your visit?
Any additional comments:
Do you need parking directions?

yes No
Would you like to be added to our e-mail list to receive news about the Giertz Gallery at Parkland College?

yes No I am already on the Giertz Gallery's email list.
Should be Empty:

Giertz Gallery at Parkland College Tour Request Form