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Jackie Robinson Museum School Programs Interest Form
Thank you for your interest in school programs at the Jackie Robinson Museum.
While we currently have no program openings, join our waitlist by completing the form below. We'll contact you if any slots matching your schedule become available.
We appreciate your patience and hope to welcome your students to the Museum soon!
Contact Person
First Name
Last Name
Email Address
Phone Number
Professional Title/Role
School Name
School Address
School Address
Country
Street
City
Region
Postal Code
When would you like to visit?
Please note that we offer guided field trips at the following times:
Tuesdays at 10am and 12pm
Wednesdays at 10:30am
Thursdays and Fridays at 10am
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First Choice
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Second Choice
Second Choice
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Third Choice
Third Choice
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Please describe any scheduling restrictions regarding dates and timing.
Tell us about your group
Grade Level(s) of Students
Grade Level(s) of Students
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Number of Students
Number of Adults
How many classes from your school would you like to have visit?
Which program are you interested in attending?
Only interested in Jackie's Legacy, Your Leadership
Only interested in Jackie Robinson Explorers
Open to either educator-guided program
Open to doing a self-guided visit if field trip openings aren't available on my requested dates
Please share any accommodations your group may need. If none, please write n/a.
Constituent Code: Museum
Alumni Leadership
Alumnus
Annual Fund
Audit
Celebrity
Central
Conference Faculty
Development
EI Fellowship Recipient
Emeritus
Event Prospect
Executive
Fellowship Recipient
Finance
Florida
Governance
Impact Student
Investment
JRF Director
JRFAA Leadership
JRFS Reader
Leadership SAC
Level 1
Level 2
Level 3
Level 3a
Level 3b
Level 3c
Level 4
Level 5
Media
Member
Membership
Mentor
MidAtlantic
Midwest
Museum
Northeast
Pacific NW
Parent(s)/Relative of a Scholar, Alumni or Staff Member
President
Program
Regional Lead
Robie Recipient
Robinson Family Member
Scholar
Scholar Advisory Committee
Secretary
Southeast
Southwest
Special Award Recipient
Staff Member
Student Leadership Council
Treasurer
Vendor
Vice President
Volunteer
West
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