Organization & Contact Info

First and Last Name *

Email *

Organization/Business Name *

Address

Street Address

City

State

Country

Postal code

Organization Phone *

Non-Profit Certification # *

Additional Communication Contacts

Participating Teacher Emails *

Accounts Payable Email *

Day-of Contact Name *

Day-of Contact Phone *

Event Details

Contact Role or Affiliation *

Type of School *

Estimated Student Count *

Grade Levels Attending *

Preferred Lesson Plan *

Preferred Event Dates *

Date 1
Date 2
Date 3

Please pick three dates in order of preference, Month/DayYear. We will do our best to accommodate you.

Preferred Three Hour Time Slot *

Typically because of bus transportation, the earliest arrival is 9:30am. If you can only do 2-2.5 hours, we can adjust our schedule to accommodate your needs.

Number of Chaperones *

Add-Ons

Lunch Package Option *

Game Room Package Interest *

Spending Money *

Additional Feedback

How Did You Hear About Us? *

Additional Comments

You will receive a pop-up message once the form has been submitted correctly. If it does not, please check the form to make sure there are no blank fields. You will also receive an auto response with details about our program, so be sure to check your junk file. Thank you!