In-Museum Group Visit Request Form
ALL REQUESTS MUST BE SUBMITTED IN WRITING, USING THIS FORM.

The Museum will be open 7 Days a Week for summer hours starting after Memorial Day. Our hours are Monday – Saturday 10-5 and Sunday 1-5. We are open to serve any groups during the summer months and those hours. Classes, Live Animals, and Lunches are not available during summer months and visitation starts at 10:00 AM. The Science Museum of Western Virginia is open for school groups, daycare groups, and homeschool groups Tuesday-Friday from 9:30 AM to 5 PM during the school year. Exhibits, Museum classes, and labs are available for scheduled groups during these hours.
• You must reserve in advance in order to receive the group rate.
• You must have 15 participates to receive a group rate.
• We require 1 Chaperone for every 10 Students (they will be free), 2 Free Chaperones with Pre-K
Age Students.
• Additional adults pay the group rate of $8.50 each that must be included with the group
payment
• You have a reservation only if you have received a confirmation by email.
• Exhibits with Garden – K and Up $8.50, Pre-K $6.50, $3.50 Additional Classes and Programs

Teacher/Group Leader's Name: *
Your answer
Grade Level or Age Group: *
Your answer
School/Group Name: *
Your answer
School System:
Your answer
Mailing Address: *
Your answer
Street Address, if Different:
Your answer
City: *
Your answer
State: *
Your answer
ZIP/Post Code: *
Your answer
Phone (work):
Your answer
Phone (cell):
Your answer
Email:
Your answer
Please contact me by: *
If by phone, what is the best time of day to reach you?
Your answer
Preferred Visit Date *
MM
/
DD
/
YYYY
Preferred Visit Date #2 *
MM
/
DD
/
YYYY
Preferred Visit Date #3 *
MM
/
DD
/
YYYY
Earliest Arrival Time *
Time
:
Latest Departure Time *
Time
:
Your time at the museum will be scheduled according to the activities you choose to participate in.
Number of Students? *
Your answer
Number of Teachers (1:10 ratio)? *
Your answer
Number of Additional Adults (bus drivers complimentary):
Your answer
Any special needs? (If so, please explain in detail)
Your answer
Check All Programs Desired: *
Required
What In-Museum Class/Lab Would You Like (if applicable)?
Click down arrow for list of classes/labs
Do we need to incorporate time into your schedule to eat lunch? *
If you plan to visit any other area attractions, please let us know what time:
Your answer
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