2018/19 School Reservation Form
School Reservations 2018-2019 School Year
Email address *
School Name *
Your answer
School District/County
Your answer
SDPC Participant *
EOF Eligible *
Teacher Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
School Address *
Your answer
School Phone Number *
Your answer
Type of School *
Date Option 1 **PLEASE NOTE ALL OF THE FRIDAYS IN MAY ARE SOLD OUT! *
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Date Option 2
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YYYY
Date Option 3
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DD
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YYYY
Date Option 4
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DD
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YYYY
Arrival Time (Doors Open at 9:30) *
Time
:
Departure Time *
Time
:
Arriving By *
Required
Departing By *
Required
Any additional notes
Your answer
Estimated Number of Students *
Your answer
Estimated Number of Adults *
Your answer
Grade Level *
Your answer
Special Needs?
Your answer
Lunch Options *
Required
Number of Events *
Wonders Store Visit *
Science Center + Drop-in STEM Workshop *
Film *
If Yes, What Film
I acknowledge that it may take up to two weeks to receive my date, schedule, and invoice. Please contact education@whitakercenter.org if your trip is to occur within that two week window. Thank you for your patience. *
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