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Field Trip Request Form

Reservation Form for Other/Non-204 Groups

Before filling out the form below, please read the information found under all tabs on the field trips page. Also, look at the online calendar for available dates.

Primary Contact's Name:
Contact's Email:    
Contact's Phone Number:
School/Group Name:
School's Phone Number:
Grade Level:
Lesson descriptions can be found by clicking on the tab at the top of this page . (However, you may need to start this form over after clicking it.)
# of Seats (Students): (Admission: $5/student)
# of Seats (Adults): (Admission: Free for adults)
Total # of Lessons:
How many lessons will you need? The planetarium has 60 permanent seats. Folding chairs can accommodate an additional 10, for a total of 70 seats. You CANNOT bring more than 70 visitors for one program.
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, 10:45, or 11:00) in the comments below.
Date(s) of Interest:
First Choice(s):
Second Choice(s):
Third Choice(s):
Please note: Lessons are offered on Mondays, Tuesdays, and Thursdays.

If your group will need multiple dates, please include as ONE choice, separated by commas (e.g., "9/1/2018, 9/2/2018, 9/6/2018"). For additional comments, please indicate in the comments box below.
Questions? Concerns? Special Needs? Specific Dates?
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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