Group Visit

Request Form

Organizer Information

First Name

Last Name

School/Organization

Job Title/Role

Preferred Phone

Group Information

Number of Students (Maximum 60 per visit)

Number of Chaperones (must be at least 1 for every 12 students attending)

School Grade(s) of Students, if applicable

School(s) students are associated with, if applicable

Visit Information

Preferred Date (please be aware that group tours are booked at least two weeks out)

Preferred Start Time

Maximum Time Available for Visit

Interested in purchasing meals for our group while on campus

YesNo

Visit Agreement

I understand that the chaperone(s) must stay with their students for the entire duration of the visit, and accept full responsibility for the group

I understand that if I am requesting meals on campus for the tour that I will contact the catering supervisor to set up a meal contract. (contact info to be provided at booking time)

I understand that there must be one chaperone for every 12 students

Rogers State University reserves the right to cancel any tour, group tour, or event at ANY time in accordance with university policy and/or special circumstances

Please type your full name to show you have read and agreed to all of the statements above