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Field Trip Request Form

District 204 - Reservations page

Primary Contact Email:    
The email address of the teacher making the reservation.
Secondary Contact Email:
A person to be included in all correspondence such as the building secretary, student services coordinator, principal, etc.
School Building:
Grade Level:
IPSD 204 lessons are connected to district curriculum by grade level. Refer to the planetarium's website for descriptions. If you do not see an existing lesson, please specify what you are looking for in the comments below.
Total # of Lessons:
Seating capacity is 70 total (adults + students). The planetarium has 60 theater seats and 10 folding chairs.
Lesson Times:

For two or more lessons, it is recommended to come back to back on the same date to keep bus transportation costs low. When scheduling back to back, these groups can determine the start time of the first program (10:30 or 11:00) in the comments below.
Date(s) of Interest:
First Choice(s):
Second Choice(s):
Third Choice(s):
Lessons are offered on Mondays, Tuesdays, or Thursdays.

If your group will need multiple dates, please include as ONE choice, separated by commas (e.g., "9/1/2017, 9/2/2017, 9/6/2017"). For additional comments, please indicate in the comments box below.
Comments:
Important information concerning your group or lesson? Questions?
 
Thank you! Please remember, this is ONLY a REQUEST. The planetarium will contact you in the next 1-2 school days with a confirmation.

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