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UNMC News: Tour Request Form

Tour Request Form

Rules/Guidelines for tour group

  • Must have at least 1 month notice
  • Groups must have 1 chaperone per 10-15 students
  • Must have at least 1 week notice should group need to cancel
  • UNMC will do its best to offer tour stops pertaining to the group's requests. However, changes to the tour stops will not be allowed once they are confirmed. Please be clear and accurate as to what presentations you would like to see. Also please be aware that due to the nature of the hospital setting, some tour stops may be unavailable for your tour.

* Required field. The form will not submit if the required fields are not filled out. Please turn off Pop-up blockers on your browser. Please click on the calender icon in order to make a date selection. Once you have chosen a date, the available times will appear below.

Requested Tour Date*:    Zapatec Calendar
Requested Time Slot*:
Note: We need at least one month's notice. This is only a requested date. You will be contacted within one week to confirm the availability of the date requested.
Contact Name*:
Group*:
Address:
City:
State: Zip:
Where are you located*: Inside Douglas or Sarpy counties
Outside Douglas or Sarpy counties
Work Phone*: best time to call:  
Cell phone: will only use in case of an emergency
Fax:
Home Phone:
E-mail*:
Type of Group:
Purpose or Goal*:
Size of Group*: Number of students*
  Number of adults*
Grade or Age Level*: K 1 2 3 4 5 6
  7 8 9 10 11 12
  College Adult
  If you are bringing more than one grade level, please indicate which grade levels and number of students/level in the Special Notes below.
Transportation*: car/van bus
Special Needs: (eg. wheelchair, physical disablilities)    
Special Notes or Requests:    

I accept the tour guidelines.

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