To register your classroom or your family for Passport to Learning, please complete this registration form.

If you have any questions or concerns, please contact Daphne Zencey at:
schoolprograms@shelburnemuseum.org or (802) 985-3346 x3395.

You will receive a confirmation email when you complete the registration process.

Homeschooling families are welcome on any Passport to Learning day. We do offer one day exclusively for homeschooling families on which no public or private schools are scheduled. This spring our homeschool day is Monday, June 10.

Passport to Learning Registration

Personal Information Please give us a little information about you so we know who to contact and how best to contact you.
Contact Information
Your First Name
Your Last Name
Your Telephone
Your Email
Address
School or organization
Address line 1
Address line 2
City
State
Zip
Country
Group Information Who will be attending?
Type of group
Grade
Total Number of Participants
Number of StaffNumber of StudentsNumber of Parents
Does your school exceed the Vermont state average of number of students receiving free or reduced lunch?
Event Information
Date and Arrival Time

Please provide 3 preferred field trip dates. We are scheduling field trips between:

Homeschool Day: Monday, June 10, 2013
Monday, May 13 - Friday, June 14, 2013

DayMonthYear
1.
2.
3.

When do you prefer to arrive? Please select your 2 preferred arrival times in order of preference.

1.
2.
Preferred Workshops

Our workshops operate on a drop-in basis, but we still like to have a sense of how many people will attend each workshop over the course of the day. Your choices are not binding, and your selections don't guarantee you a spot.

Please check all workshops you or your group are interested in attending

What do you want to do?

Shelburne Museum
6000 Shelburne Road
PO Box 10
Shelburne, VT 05482
802-985-3346
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