* = Required Field
*
Your Name:
*
Phone:
Fax #:
*
Email:
School/Camp Name:
Grade Level:
Grade level
K-8
High School
*
School/Camp Address:
*
City:
*
State:
--Select a State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington State
Washington,D.C.
West Virginia
Wisconsin
Wyoming
--Not Applicable--
*
Zip Code:
Name of Group Leader:
(If other than yourself)
*
# of Chaperones:
*
# of Students:
* The Museum requires one adult chaperone for every ten students.
*
Month:
Select Month
January
February
March
April
May
June
July
August
September
October
November
December
*
Day:
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
*
Year:
Year
*
Arrival Time:
Select a Time
Anytime
10am
10:30am
11am
11:30am
12pm
12:30pm
1pm
1:30pm
2pm
2:30pm
3pm
3:30pm
4pm
4:30pm
5pm
5:30pm
*
Select your package:
-- Select a package --
Museum Only
Museum + 1 Add-On
Super Saver: Museum + Add-Ons
Select One:
Planetarium Space Show
-- Select a time --
10:30am
11am
11:30am
12:30pm
1pm
1:30pm
2pm
2:30pm
3pm
3:30pm
4:30pm
Imax
-- Select a time --
10:30am
11:30am
12:30pm
1:30pm
2:30pm
3:30pm
4:30pm
Special Exhibits:
Please choose a date of visit above to see the special exhibits
Planetarium Space Show
-- Select a time --
10:30am
11am
11:30am
12:30pm
1pm
1:30pm
2pm
2:30pm
3pm
3:30pm
4:30pm
Imax
-- Select a time --
10:30am
11:30am
12:30pm
1:30pm
2:30pm
3:30pm
4:30pm
Special Exhibits:
Please choose a date of visit above to see the special exhibits
Off-street bus drop off/pickup is available.
I am arriving by bus
Number of buses
You must reserve a room if your group is planning to bring lunches to the Museum. Space is limited. If your 1st choice is full, we will book the closest available time.
Please reserve a Lunch Room for my Group
-- Select a time --
11am
11:40am
12:30pm
1:15pm
1:50pm
Special Requests:
Add any special requests for your visit here.