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Request a Group Visit

We look forward to your visit!  Please complete the following reservation request form.  If you have any questions, you may call the Office of Admissions at (540) 441-8110 or e-mail

Click here to view available visit dates on the Campus Visit Calendar.

* Date Requested for Visit:
* First Name:
* Last Name:
* Position:
* Name of Organization:
* Mailing Address:
* City, State, and Zip:
* E-mail Address:
* Daytime Phone Number:
Phone number while en route to PHC:
* Total # of Students:
Average Age of Students:
* Total # of others (including chaperones, family members, and drivers):
What brings your group to northern Virginia?
We are traveling for the express purpose of visiting PHC.
PHC is one of several places we will visit.
Other :  
Additional services needed on the day of your visit (if any):
Other Notes:

* required