Koshare Museum Reservation Form

 Please make all reservations in the name of the adult who will actually lead your group. Questions? Call (719) 384-4411 or fax (719) 384-8836.

*Required

Organization Information

 

*Group Leader Name:

*Leader's Email:

*Group Name or Troop Number:

Organization (Council):

*Leader Mailing Address:

*City:

*Zip Code:

*State:

Leader's Phone Number

 

*Cell Phone Number:

Home Phone Number:

*Contact Phone Number:

Fax Number:

Travel Information

 

*Date Arriving:

*Time Arriving:

*Date Departing:

Vehicle (bus/car):

Group Information

 

*Total # of Males:

*Total # of Females:

*Total # of Adults:

*Group Total:

We Would Like (Check All That Apply)

 Hostel Overnight

Museum Visit

 Koshare Show (If Available)

Guided Tour

 Additional Information

 

Comments:

Home Page