Request a Virtual Classroom Visit by The Dalí

Before submitting your request, please consult your school’s administration and calendar regarding testing, school holidays, and half days.

For school groups who wish to reserve more than one date, please submit a separate request form for each date, and indicate in the notes section of each form that you have submitted requests for multiple dates. The contact information must be for the teacher that will be present during each virtual visit.

The Dalí in the Classroom Request Form

School Name*
Is this a Title 1 School?*
- Yes
- No
School Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
School Phone*
Number of Students in Class*
Age/Grade(s) of Students*
Classroom Subject*
If other, please specify*
Teacher*
First Name Last Name
Email*

Email
Preferred Date*
MM slash DD slash YYYY
Alternate Date*
MM slash DD slash YYYY
Start Time*

: Hours

Minutes

AM/PM
Select Theme*
Notes or Special Needs:
Your Name*
Your Role*
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.

Save and Continue Later

You confirmation e-mail will include instructions on creating your virtual meeting and a link to finalize payment.