Teachers Form

Art’scool Scheduling Request Form The Gallery and BlueCross BlueShield of Western New York are delighted to present Art'scool, a new and exciting school tour program designed to create the critical and creative thinkers of tomorrow. Educators can bring their students for a one-time introductory tour or choose the two-visit program for a more in-depth view of the museum and a curriculum-focused selection. Art'scool provides free admission for all K–12 students and chaperones as well as a transportation subsidy and are guided by a specially trained docent.

Teacher Name:	*
School Name:	*
School Address:	*
E-mail Address:	*
Phone (school):	*
Phone (cell):
How would you like our Tour Coordinator to contact you?

Grade Level:	*
Number of Students:	*
Tour Topic:
Would you be interested in visiting for a curriculum-focused second tour?

Art’scool tours are offered Tuesdays at 9:30 am and 10:45 am and Wednesdays, Thursdays, and Fridays at 9:30 am, 10:45 am, and 12:30 pm. When selecting tour dates and times, please note that the Gallery regrets that we cannot provide lunch facilities for school groups. Reservations must be made by the tenth of the month prior to the month you would like to visit. (For example, reservations must be made by October 10 for a November tour.) Space is limited; we encourage you to request your dates as early as possible. Please choose three possible dates and times (Example: 9:30 am, Tuesday, May 26):
	Choice 1: * Choice 2: * Choice 3:
All Gallery programs are accessible to those with special needs. Please indicate whether you or your students have any special requirements that must be accommodated:

Any additional information you would like to include in your request:

Security Code:
Enter Code:	*