IIMF Middle School Registration Tour of the Fort Des Moines MuseumSaturday, January 24, 202610:00am-11:30am Fort Des Moines Museum 75 E Army Post Road Des Moines, IA 50315

Student Name

First Name

Last Name

Student Email Address (noname@noname.com)

Student Phone Number (xxx-xxx-xxxx)

Gender

School

Graduation Year

If you picked "other" for Middle school, please enter the name below.

Parent/Guardian Information

First Name	Last Name
Phone Number (xxx-xxx-xxxx)	Email (noname@noname.com)