Jewish Museum Milwaukee

School/Group Name:

Street Address:

Suite/Apartment/Unit Number:

City: State: Zip:

This is a Work Home address.

Name of Contact:

E-mail:

Work Phone:

Home Phone:

Cell Phone:

Fax:

Preferred Form of Contact:

Number in Group:

Age/Grade (if applicable):

Is this your first trip to the Jewish Museum Milwaukee? Yes No

Special Needs? Yes No

If you checked "yes," what are those needs?

What subjects are your group studying related to the themes of the Jewish Museum Milwaukee (for School Groups)?

Special Requests:

Date Requested:

Please give us three dates and times when you would like to come for your tour, and we will make every effort to accommodate you. The Jewish Museum Milwaukee is closed for some Jewish holidays. If you have questions about a date, please contact us at educator@jewishmuseummilwaukee.org.

1st Choice: day date: time:

2nd Choice: day date: time:

3rd Choice: day date: time:

Non-refundable booking fee: $15

Reservations will not be held without receipt of your booking fee. Your payment may be mailed (see below) or paid online. You will receive a confirmation date after payment.

Please make checks payable to:
The Jewish Museum Milwaukee
1360 N Prospect Avenue
Milwaukee, WI 53202