School Group Visit Request Form

Please use the form below to fully describe your group and purpose of visit.

School Name:

Town:

Student information:

Number of students:

Grade Level(s):

Requested Date(s) and time: (ex. 5/21/06, 10 - 11 AM)

Teacher and Chaperone information:

Lead Teacher Name:

Work Phone Number/Cell Phone Number:

Lead Teacher Email

Anticipated Number of Chaperones:

Please describe the purpose of your visit:

Please describe your school's affiliation with UConn, if any:

Return to School Group Visit Policies.