Youth Intake Form

Group Tour Interest Form
Thank you for your interest in a Group Tour. Once you have submitted this form a Muhammad Ali Center representative will respond within 2 business days. Please note that all group tours are scheduled at least 3 weeks in advance to ensure staffing and availability.
Contact Name: *

First Name Last Name

Address: *

Organization/Family Reunion Name: *
E-mail: *
Organization Phone Number: *

- Area Code Phone Number
Contact Cell Phone Number: *

- Area Code Phone Number
Group Tours are available Tuesday-Saturday, 9:30 AM - 3:00 PM. After hours tours are available for additional fee and are subject to availability.
Requested Visit Date 1: *

- Month - Day Year
Requested Visit Date 2: *

- Month - Day Year
Requested Visit Date 3: *

- Month - Day Year
Requested Arrival Time (EST): *

: Hour Minutes
# Buses or Vans: *
Number of Participants: *
Special Needs or Disabilities:
Does your group wish to visit the Muhammad Ali Center retail store? *

Yes No
Method of Payment: *

Cash Debit/Credit Card Check
Is your organization Tax Exempt? *

Yes No
If yes, please upload your Tax Exempt Form:

Browse Files

Cancel of
Time of Payment *

Prior to visit Upon arrival
How did you hear about the Ali Center?
I understand that submitting this form does not constitute a group tour reservation. *
Date *

- Month - Day Year
You will receive an email confirmation once you submit this form. Please allow two business days for a response.
Should be Empty: