Group Reservation Request Form
Please complete this form to request a group visit to the North Museum of Nature and Science. Groups of over 15 people receive a 10% discount on their total.

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 a week of this form's submission.

Email address *
Full name of person completing this form: *
Your answer
Email address of person completing this form: *
Your answer
Name of your group/school: *
Your answer
Address of group/school: *
Your answer
Billing address of group/school (write "same" if same as above) *
Your answer
Is the person completing this form the Day of Visit contact person: *
Email address for the Day of Visit contact person: *
Your answer
Phone number for the Day of Visit contact person: *
Your answer
First choice for date of visit: *
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DD
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YYYY
Second choice for date of visit: *
MM
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DD
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YYYY
Third choice for date of visit: *
MM
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DD
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YYYY
Arrival Time: *
Time
:
Departure time: *
Time
:
Type of visit: *
Type of Museum experience:
Which Planetarium Show Would You Like to See?
How many children? *
Your answer
How many adults? (including teachers) *
Your answer
How many seniors? (age 65+)
Your answer
How many children under age 2?
Your answer
Type of Group? *
If School or Youth Group, what is the grade level/age of students?
Your answer
Lunch? *
A copy of your responses will be emailed to the address you provided.
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