Group Reservation Request Form
Please complete this form to request a group visit to the North Museum of Nature and Science. Groups of 15 or more people receive a 10% discount on their total. Reservation requests must be submitted two weeks or more prior to requested date(s) of trip.

Note: Submission of this form is a reservation request and should not be considered a guaranteed reservation. Reservations will be confirmed via email with in 10 days of this form's submission.   For any questions or concerns, please contact Kate Wilson at 717-358-4116 or kwilson@northmuseum.org
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Email *
Full name of Group Visit Contact *
Email of Group Visit Contact *
Phone number of Group Visit Contact *
Name of your group/school: *
Address of group/school: *
Billing address of group/school (write "same" if same as above) *
First choice for date of visit: *
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Second choice for date of visit: *
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Third choice for date of visit: *
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Arrival Time: *
Time
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Departure time: *
Time
:
Type of visit: *
Type of Museum experience: *
Which Planetarium show would you like to see?
Clear selection
How many children? *
How many adults? (including teachers) *
How many seniors? (age 65+)
How will your group be paying for your visit? *
If you chose "pay via invoice" please provide the name and contact info for the person who should receive the invoice.
Type of Group? *
If School or Youth Group, what is the grade level/age of students? *
Lunch? *
Gift Shop (supervision & adult assistance required) *
A copy of your responses will be emailed to the address you provided.
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