Tour Request-Student Affiliations

Please fill out this form completely. You will receive a confirmation after you have submitted the form. We will be in touch with you regarding your request.
Please provide as much advance notice as you can in order for us to accommodate your request. For small groups with fewer than 20 participants, we require two weeks notice and one month notice for groups over 20 participants.
All participants must fill out a Tour Participant Form one week prior to the tour date. These forms can be found on our Logan Health Educational Tours website.

First and Last Name *

email Address *

Phone # *

School/Organization *

Approximate number of attendees *

Requested Date of Tour Preference #1 *

Additional Dates that can be considered if your first choice is not available. *

Reason for Tour: *

Please list any specific department(s) your group would like to tour.

Additional phone # *