Wall That Heals Tour & Field Trip Registration Form

Wall That Heals Tour & Field Trip Registration Form
Thank you for registering your group for a tour of the Wall That Heals in Independence, Oregon.

Please take a moment to complete the form below with information about who will be attending.

After completing the form, you will recieve a confirmation email with the details about your tour date and time. More specific information will be shared with your group via email prior to your visit.

Please note that the Wall That Heals is staffed by volunteers throughout the community. We will do our best to accomodate your needs based on the information provided. Volunteers will communicate with the main point of contact to arrange accomodations.

School Groups: Field Trips are best suited for students in grade 5 and above. If you have questions about a specific group, please reach out to the Wall That Heals Committee at:
What kind of tour are you interested in registering for?
Name of Group or School
Grade Level of Students Visiting
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Main Contact for Group

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Number of People Attending (for groups larger than 25, please complete additional registration forms as needed)
Please indicate below any special accommodations your group would like to explore with organizers (accommodations subject to availability):

Spanish TranslationAmerican Sign Language TranslationADA ParkingOther
Please Select a Youth Tour Time Below:
Please Select an Adult Guided Tour Time Below:
Should be Empty: