Student Program Request Form

To schedule a Valentine Student Program, complete the form below and our staff will be in touch shortly to confirm. Questions or special requests? Add them in the note section! We look forward to your visit.

Student Program Form

What type of program are you interested in booking?
- Virtual program (online in real time)
- Outreach program (at your school)
- Learning Trunk (delivered to your school)
- Onsite program (at the museum)
- Walking Tour (offsite tour location)
- I need more information
If you are booking a virtual program, which online platform does your school use?

Examples: Zoom or Google Meet
Which program or trunk would you like to book?*

You can select from our list here: https://thevalentine.org/programs-tours/student/ or let us know if you are looking for a modified experience.
Name*
School*
School District*
If your school district is not listed, please indicate below
Grade*
Do you teach at Richmond Public Schools or at a title one school?*
- yes
- no
Funding is available for title one and RPS classes
Number of classes*
Approximate number of students per class*
Teacher Name
School Address*
City*
Zip Code*
Phone number*
Email*
Enter Email Confirm Email
Please provide us with some dates and times for your visit:*
We typically offer Virtual programs Tuesday- Friday between 9am - 4pm. Student outreach programs can be offered anytime Monday - Friday and occasionally on the weekend (pending instructor availability).
Please list any special requests you have
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Student Program Request Form

Student Program Form

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