CONTACT INFORMATION

Group or School Name:

Group Leader Name:

Group Type: Select from Dropdown List Public School Private School Parochial School Charter School Youth Group Scout Group Summer Camp Daycare Pre-School Other

If Group type is "Other," please explain:

Grade Level of Youth (if applicable)

Email Address

Mailing Address:

City:

State:

Zip Code:

Daytime Telephone:

Alternate Telephone:

PLAN YOUR VISIT

Does the group have special needs?
Select: Yes No

If yes, please explain so that we can be prepared for your visit:

Enter Source Code (not a mandatory field).

Please choose 2 different dates for your visit and we will do our best to accommodate your first choice.

1st Choice:

2nd Choice:

Expected Time of Arrival:

Expected Time of Departure:

CHAPERONE POLICY
1 chaperone per 10 youth required; maximum 1 chaperone per 5 youth receive chaperone rates. Additional chaperones pay adult group rates. Early Childhood groups (Pre-K - Grade 2) must have 1 chaperone per 7 children. Chaperone rates are also valid for visits Monday-Friday ONLY.

Number of Students/Youth:

Number of Chaperones:

LUNCH OPTIONS
Does your group need space for a brown bag lunch? Please note there is a $25 fee to reserve the lunch room for the entire group. You will be assigned a room for 25 minutes.
Select: Yes No

Does the group need to purchase lunch from Franklin Foodworks? (CLICK HERE for Group Dining options.)
Select: Yes No

SCHOOL AND YOUTH GROUP PACKAGES
Not sure which package to select? Our FIELD TRIP PLANNER has all the details.

Special Exhibit Admission (includes General Admission):
Select One of the Following Packages: Museum & SPY! | $13.75/youth, $13.75/chaperone

Experiential Packages:
Select One of the Following Packages: The Astronomy Experience | $15.00/youth, $4.00/chaperone The Earth Science Experience | $15.00/youth, $4.00/chaperone The Bioscience Experience | $15.00/youth, $3.00/chaperone The Amazing Machine Experience | $15.00/youth, $1.50/chaperone The Early Childhood Experience | $12.00/youth, FREE/chaperone

General Museum Admission Only:
Core Museum Exhibits Only | $8.50/youth, Free/chaperone

HANDS-ON WORKSHOPS
Select One of the Following Workshops: The Science of Espionage | $5.00/youth, Free/chaperone Stream Table: Creating Change | $5.00/youth, Free/chaperone Spectroscopy: Colors of Light | $5.00/youth, Free/chaperone Cow Eye Dissection | $5.00/youth, Free/chaperone Sheep Heart Dissection | $5.00/youth, Free/chaperone K'Nex Construction Challenge | $5.00/youth, Free/chaperone Submarine Challenge | $5.00/youth, Free/chaperone Crazy Ball Maze | $3.50/youth, Free/chaperone Liquid Laboratory | $3.50/youth, Free/chaperone

THEATERS

Tuttleman IMAX^® Theater - $4.00 per person
No IMAX Film Forces of Nature Flight of the Butterflies Space Junk

Franklin Theater - $3.00 per person
No Franklin Theater Film Meerkats 3D Mummies 3D Sea Rex 3D

Fels Planetarium - $2.00 per person
No Planetarium Show Black Holes: The Other Side of Infinity Sky Tonight Wildest Weather in Solar System To Space & Back

Live Science Shows - $1.50 per person
No Live Science Show Carnival of Machines Liquid Air Show Science of Fireworks Show CBS3 Weather Show

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