Fifth Grade Reservation Form

If you see this don't fill out this input box.

*Organization Name

*Organization Phone

*Contact Name

*Contact Phone

*Contact Email

First Choice for Tour Date

Second Choice for Tour Date

*Preferred Arrival Time

*Grade Level

*Number of Students

*Number of Chaperones

*Is this your first field trip to the museum?

YesNo

*Describe the time your students will spend on the study of the Holocaust and World War II prior to your visit

less than one weekone to two weekstwo or more weeksnone

Please tell us if you have a number of students who are

English Second Language (ESOL/ELL) Proficient/Distinguished Learners Beginning/Developing LearnersHearing and/or Visual Impairment

What are your learning objectives for this visit?

Choose one tour option from each section.

*Choose one

Parallel Journeys General Tour (A 30-minute exhibition talk given by a museum guide)Parallel Paths Activity (A 30-minute museum activity exploring the stories and choices of teenagers and young adults during the Holocaust.)

*Choose one

Short Life of Anne Frank FilmWomen in Wartime Film

*Choose one

Georgia Goes to War Exhibit Investigation (Explore war contributions from different geographic regions throughout the state of Georgia)The Sky's the Limit: Women Pilots of World War II Exhibit Exploration (Engage with artifacts, maps and other exhibit elements)

*Optional 30 minute extension (pick one)

Point Rationing System Activity Draw What You See - Art in the Holocaust ActivityWartime Production STEM ActivityParatrooper Plummet STEM Activity

Please select which of our other free resources you have reserved/used for this school-year (Check All That Apply):

In-School ProgramsTraveling ExhibitionsTraveling TrunksLegacy Series Oral History ProgramOnline Teacher Guides

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