peace 101 - class request

General Information

First name of the teacher/ guardian

Last name of the teacher/ guardian

Contact E-Mail

Contact Phone

School name

When do you want to host Peace101?

Requested time on that day:

:

Group details

How many students will be approximately in the group?

How many chaperones will approximately be in the group?

Whats the age range in the group?

Has the group participated in Peace101 before?

Yes

No

Would you like a tour of the museum as well?

Yes

No

Which of our courses are you interested in? What do want us to cover in particular?

Is there anything else we might need to know?

The cost for Peace 101 is $12 per attendant, excluding teachers, who are free. Please note, that we will be contacting you as soon as possible to confirm the registration - this form is only a request, a confirmation and invoice will be provided per E-Mail.

Do you have any more questions?
Contact us now!

info@daytonpeacemuseum.org

+1 (937) 227-3223