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Trip Interest Form

Required

Thank you for your interest in visiting the Science Center. Use this form to express interest in a 2023-24 visit to the Science Center. You will be added to our priority list email once we begin accepting requests.
Name of School/Organizationrequired
Must contain only letters, numbers and spaces
Trip Point of ContactrequiredThis is the person who will work with the Science Center staff to make all arrangements for the trip
Prefix (optional)
First Name
Last Name
This is the person who will work with the Science Center staff to make all arrangements for the trip
Point of Contact Email Addressrequired
Point of Contact Phone (ex: 4445556666)required
Numbers only. No spaces or dashes. (Must contain only numbers)
Type of OrganizationsrequiredSelect all that apply.
Select all that apply.
Other Important Information0 / 1000
Estimated visit dates, approximately how many you expect to attend, etc.