* mandatory field

What type of group are you ? Elementary School Middle School High School Other *

If other please specify  

Which program would you like? Cherokee History Chumash History General Native American Studies *

Number of students  *

Group Age/Grade: *

Number of adults (excluding teachers)  *

Preferred date month/day/year

first choice *

second choice

Contact Information

Contact Name *

Contact Number (###) ###-####  *

Alternative Number (###) ###-####   

E-mail *

Location of Event

School Contact Name *

School Contact Number (###) ###-####  *  

School Address *

 City, California, Zip *

If different then above: 

Location Name

Address

 City, California, Zip

I have read and agree to the terms and conditions (y/n) *

Additional Information or Questions