Rockin’ the Schools 2009-2010 Education Department Programs 1100 Rock and Roll Boulevard Cleveland,Ohio 44114-1022
Rock and Roll Hall of Fame and Museum  
ROCKIN' THE SCHOOLS REGISTRATION
Please complete this group reservation form and fax to 216-515-1995, mail to the Group sales Department at the address below or fill it out online at www.rockhawww.rockhall.com/student/rts-registration.
A group sales representative will contact you to confirm a date. if a representative does not contact you within 5 business days, please call the Group sales Department at 216-515-1228.
Rock and Roll Hall of Fame and Museum • Group sales Department • Fax: 216-515-1995 1100 Rock and Roll Blvd., Cleveland, OH 44114
Contact Name: Date of Request:
School Name:
School District: CMSD Other (please specify):
Lead Teacher traveling with group: Lead Teacher email address:
Address:
City:   State: Zip: Country:
Telephone Number: Fax Number:
Email Address:
Grade Level: Subject/Class: Special Needs:
SELECT ONE PROGRAM FROM THIS BROCHURE AND FILL IN YOUR CHOICE HERE:
NOTE: All programs begin promptly at the times indicated and groups must arrive at the designated time before the scheduled start time.
DATE OF VISIT: Programs are offered Tuesday - Friday from October - June
Please fill in three possible dates and times for your visit here.
1st Choice:  Date: / /   Program Time (chose one): 9:45 arrival time
10:00 program starts		 or  10:30 arrival time
11:30 program starts
2nd Choice:  Date: / /   Program Time (chose one): 9:45 arrival time
10:00 program starts		 or  10:30 arrival time
11:30 program starts
3rd Choice:  Date: / /   Program Time (chose one): 9:45 arrival time
10:00 program starts		 or  10:30 arrival time
11:30 program starts
TOTAL NUMBER OF PEOPLE ATTENDING:
Number of Students:   Number of Teachers Number of total chaperones(ratio 1:10)(Including teachers) Number of Bus Driver(s)  
Note: There is a maximum of 146students, 15 chaperones and 3 drivers per program.
Costs: The costs to participate in a Rockin’ the Schools educational program and to tour the museum are funded by the generous contributions of the Rock and Roll Hall of Fame and Museum’s donors and members. Transportation costs are covered for Cleveland Metropolitan School District groups only on a first-come first-serve basis. Limited funds are available.