Churchill Memorial Fulton, MO

Reservation Form

Fill out this form and then mail to:

Winston Churchill Memorial and Library
   Attn: Education Coordinator
   501 Westminster Ave
   Fulton, MO 65251
- OR -
Fax to: 573/592-5222

Reservation forms must be received at least 2 weeks in advance of your requested tour date. For more information, call 573/592-6242 or e-mail Education Coordinator.

For pricing and other information, please see Plan a School Group Visit.

For lesson plan options, please see Education Curricula.

Today's Date:
Please select three possible date for your visit in order of reference. You will receive an e-mail confirming your reservation for the first available date.
Date 1:	Date: 2	Date:3


What time will you arrive? (Please be aware you should plan a 1 1/2 to 2 hour visit).

If you are arriving around lunchtime and would like to eat lunch at Westminster, please select one of the following options: (See our Lunch Options for more information).
	Box lunches: $6.25 Includes a sandwich, chips, cookie, and drink.
	Dining Hall: $5.00 Served from 11am-1pm, come experience college life in Westminster’s dining hall.
	Sack lunches: Free Bring your own lunches and eat outside in the courtyard or by “Breakthrough”, a sculpture created from the Berlin Wall.

Number of Students expected:	Student Grade Level(s):


Number of Chaperones (1 per 10 - 15 students required)

School/Group Name:
Contact Name:
Contact Phone:
Contact E-mail:
Contact Title (choose one):	Teacher
	Principal
	Counselor
	Other


School Address (line 1):
School Address (line 2):
City:	State:	Zip:
School Phone:

Would you like a complimentary copy of our curriculum CD entitled Exploring Churchill and His Century (all information on CD is on our website as well)?
Yes No

Special Instructions (space provided below for any additional information you feel is necessary):


How did you hear about us?