Library Instruction Form Full name * Phone number * Email * Name of organization or school * Number of people/students in tour group * What grade or age range are the people/students in your group? * Requested date of library visit * Requested arrival time * 121234567891011 : 0030 AMPM Time you will need to depart the library * 121234567891011 : 0030 AMPM Activities you wish to complete while at the library Tour of entire library Tour of only 2 floor Library instruction Book check out Obtain library cards for my class prior to visit OtherOther Library Instruction Do you have a specific topic you wish to focus on? Yes No Explain Confirmation needed by what date? * Please note, we will do our best to meet your request. We will contact you via the email address you provided to make final arrangements. Library instruction is dependent on library staffing. If we are unable to accommodate your request on the date you provided, we will offer alternative dates. If you requested library cards for your class prior to your visit, we need to have the completed / signed library card applications brought back to the library one week prior to your visit. I have read and understand the above note * Yes No If you are human, leave this field blank.