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Group Visit Request
Request Form
Group Visit Request
"2017-04-17","2017-04-10","2017-04-29"
First Choice Day/Date
*
Year
Year
2017
2018
2019
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
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23
24
25
26
27
28
29
30
31
Arrival Time
*
Arrival Time Option
*
AM
PM
Second Choice Day/Date
Year
Year
2017
2018
2019
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
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
Departure Time
*
Departure Time Option
*
AM
PM
Group Name
*
First and Last Name of Contact Person
*
Email Address of Contact Person
*
Phone Number of Contact Person (work)
*
Additional Phone Number of Contact Person (home/cell)
Approximate # of Students
*
Approximate # of Teachers
*
Approximate #of Chaperones
*
Address for Invoice
*
Grade / Age
Lunchroom Requested
No
Yes
Workshop Requested
No
Yes
Below 5 Years
Fossil Junior $2
Magnets Junior $1
Simple Machines $1
Time For Fossil Junior
*
09:00
09:30
10:00
10:30
11:00
11:30
12:00
12:30
01:00
01:30
02:00
02:30
03:00
03:30
04:00
04:30
Time For Magnets Junior
*
09:00
09:30
10:00
10:30
11:00
11:30
12:00
12:30
01:00
01:30
02:00
02:30
03:00
03:30
04:00
04:30
Time For Simple Machines
*
09:00
09:30
10:00
10:30
11:00
11:30
12:00
12:30
01:00
01:30
02:00
02:30
03:00
03:30
04:00
04:30
5 Years and above
Biospheres $2
Circuit Builders $1
Electricity $1
Fossil Find $2
Force & Motion $1
Light $2
Magnets $1
Slime $2
Water $2
Time For Biospheres
*
09:00
09:30
10:00
10:30
11:00
11:30
12:00
12:30
01:00
01:30
02:00
02:30
03:00
03:30
04:00
04:30
Time For Circuit Builders
*
09:00
09:30
10:00
10:30
11:00
11:30
12:00
12:30
01:00
01:30
02:00
02:30
03:00
03:30
04:00
04:30
Biospheres $2 Same Time Slot
If workshop Biospheres $2 have two session at same time please enter 2
Circuit Builders $1 Same Time Slot
If workshop Circuit Builders $1 have two session at same time please enter 2
Time For Electricity
*
09:00
09:30
10:00
10:30
11:00
11:30
12:00
12:30
01:00
01:30
02:00
02:30
03:00
03:30
04:00
04:30
Electricity $1 Same Time Slot
If workshop Electricity $1 have two session at same time please enter 2
Time For Fossil Find
*
09:00
09:30
10:00
10:30
11:00
11:30
12:00
12:30
01:00
01:30
02:00
02:30
03:00
03:30
04:00
04:30
Time For Force & Motion
*
09:00
09:30
10:00
10:30
11:00
11:30
12:00
12:30
01:00
01:30
02:00
02:30
03:00
03:30
04:00
04:30
Time For Light
*
09:00
09:30
10:00
10:30
11:00
11:30
12:00
12:30
01:00
01:30
02:00
02:30
03:00
03:30
04:00
04:30
Time For Magnets
*
09:00
09:30
10:00
10:30
11:00
11:30
12:00
12:30
01:00
01:30
02:00
02:30
03:00
03:30
04:00
04:30
Time For Slime
*
09:00
09:30
10:00
10:30
11:00
11:30
12:00
12:30
01:00
01:30
02:00
02:30
03:00
03:30
04:00
04:30
Slime $2 Same Time Slot
If workshop Slime $2 have two session at same time please enter 2
Time For Water
*
09:00
09:30
10:00
10:30
11:00
11:30
12:00
12:30
01:00
01:30
02:00
02:30
03:00
03:30
04:00
04:30
