2019-2020 CMSE Mobile Planetarium Program Reservation Request
The Center for Mathematics and Science Education (CMSE) is excited to offer your students an experience without ever having to leave school!

Before submitting a request, please read about the requirements, pricing, and logistics at http://cmse.olemiss.edu/mobile-planetarium-program/. Completing this request does NOT confirm your reservation. The CMSE will confirm your reservation within ten business days of receiving your reservation request.
Contact Information
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Cell Phone Number *
Please provide the cell phone number of the teacher requesting the planetarium showing. This number will only be used if the planetarium facilitators need to reach the teacher outside of school hours.
Your answer
School/Group Information
Your role at school/group *
(Classroom Teacher, Principal, Science Coordinator, etc.)
Your answer
School/Group Name *
Your answer
School/Group District
If applicable.
School/Group Phone Number *
Please use this format: XXX-XXX-XXXX.
Your answer
School/Group Physical Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
County *
Your answer
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