LIC Hands-on House Family Pass Reservation
Filling out this form does not guarantee museum passes. Please locate your school's pass availability at this link:
Passes will be given on a first-come, first-served basis. Lost museum kits will have a $10 replacement cost. You will receive an email confirming your reservation and the due date of the kit. Passes are due the Monday following the checkout unless during a school break when the pass is due on first school date following the break. For More information, contact Sarah DeMaria, Library Department Coordinator
Sign in to Google
to save your progress.
Email address of Parent/Guardian for confirmation and due date.
Student First Name
Student Last Name
Student Grade Level
First Name of Parent/Guardian
Last Name of Parent/Guardian
Requested Date of Passes
Please reserve passes at least two days in advance.
Never submit passwords through Google Forms.
This form was created inside of Hempfield School District.