GCC Science Center Reservation Form

 

Please Note: (*) indicates responses are required.

Requested DATE & TIME
Date: (mm/dd/yyyy)* 
Time: 9:30am - 12pm
Other (Specify):
In the case of a large group requiring two separate visits, please indicate the second date here:
Second Date: (mm/dd/yyyy)
Time: 9:30am - 12pm
Other (Specify):

IMPORTANT: I have checked the calendar for available dates *:YES

About Your Group
School or Organization*: 
District or Agency:
Address*
City*:       Zip*:
Phone*:   FAX:
Email (principal/secretary)*:
Lead Person Name*:
Lead Person Email*
Lead Person Phone*
Emergency Contact Name*
Emergency Contact Phone*
Grade Level (s) Attending*:
Number of Students Attending*
Number of Adults*:
Number of Cars Requesting "Visitor" Parking Passes:
Lunch*:Yes No
Special Considerations for Your Group, please describe:
Planetarium Presentation Requested (With special topics if needed):
Science Center Activity Requested: