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K-12 School Field Trip Application

Contact Information

Teacher Name*

Email*

Subject*

Phone Number*

How would you like us to contact you?*

School Phone Number*

School name*

School address*

School Zip Code*

School city*

School state*

How many adult chaperones will be coming with the group?*

Student Information

Grade Level*

Number of Students*

Number of Classes*

Tour Information

Date and time*

Month

Day

Year

Time

:HoursMinutes

Tour Topic (Optional)

Tour Location (Optional)

What are your goals for this visit?

Are there any accommodations that may be helpful

Transportation

How are you getting to the location?*

How many vehicles will you be expecting?*

Saturdays 11:00 AM - 2:00 PM

By Appointment

OFFICE HOURS

Monday - Friday 9:00 AM - 5: 00 PM

Michigan Street African American Heritage Corridor Commission

119 Broadway & Elm St,

Buffalo, NY 14203

Email: info@michiganstreetbuffalo.org

Phone:

716-322-1002

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© 2013 - 2025 Michigan Street African American Heritage Corridor Commission | All Rights Reserved

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