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If you'd prefer to submit using a printed nomination form, here is a printable version [PDF]

Mott Community Relations:
Application for School Group Tours



Please complete this electronic form

 

Before you submit the application, be sure you are familar with our Group Visits / Entertainment Guidelines.

Name of School Group:
Contact person name:
Telephone number
Address:
Email:
Fax:
Purpose of the visit/Desired outcome:
How many people (total) will be coming to the hospital:
What times/days of the week work best for your group?
Will you be bringing any items for patients and families:

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