Full Day of STEM // Reservation Form
Enjoy a full day of interactive STEM (science, technology, engineering and math) fun at the Lancaster Science Factory and the North Museum of Nature and Science! Submission of this form is a reservation request and should not be considered a guaranteed reservation. Reservations will be confirmed via email. All payments will be made to the North Museum. For questions, please contact Tyler Barton, tbarton@northmuseum.org
Email address *
Name of Group/School *
Address of Group/School *
Name of Group/School Contact *
Email Address of Group/School Contact *
Phone Number of Group/School Contact *
1st Choice for Date of Visit *
MM
/
DD
/
YYYY
2nd Choice of Date of Visit *
MM
/
DD
/
YYYY
3rd Choice of Date of Visit *
MM
/
DD
/
YYYY
Arrival Time (5 hours recommended) *
Time
:
Departure Time *
Time
:
Choose Package Type *
How many children (ages 3-17)? *
How many adults? *
What is the grade level of students? *
How will your group be paying for your visit?
Clear selection
If you chose "pay via invoice" please provide the name and contact info for the person who should receive the invoice.
Submit
Never submit passwords through Google Forms.
This form was created inside of North Museum of Nature and Science. Report Abuse