William Penn Day Celebration - Senator Mastriano

Homeschool or Co-op School Name:*

Adult Contact for Event:*

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Address*

Street Address Address Line 2 City State ZIP Code

Cell Phone Number (Contact during the event):*

Email:*

Enter Email Confirm Email

Emergency Contact Name (Not with group):

Emergency Contact Phone (Not with group):

How many adults in your group?*

How many students in your group?*

Do you want a Capitol Tour with Tour Office? (Desired tour time not guaranteed):

Will you use cafeteria tables for lunch? * Please note they are currently located in the Keystone Building on North Street.*

Will you go directly to the State Museum upon arrival?*

Will you participate in Senator Mastriano’s Senate Chamber Tour?*

Will you participate in Senator Mastriano’s State Museum Tour?*

Any Additional Information:

Name

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