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 or (717)898-5501.
Sign in to Google to save your progress. Learn more
Email *
Email address of Parent/Guardian for confirmation and due date. *
Student First Name *
Student Last Name *
Student Grade Level *
Teacher Name *
First Name of Parent/Guardian *
Last Name of Parent/Guardian *
Requested Date of Passes *
Please reserve passes at least two days in advance.
Clear form
Never submit passwords through Google Forms.
This form was created inside of Hempfield School District. Report Abuse