Request Reservation Step 1 of 7 - Organization/School Information 14% Reservation RequirementsThank you for your interest in visiting FCMoD as a school group or organized group! Before making your reservation, please read through the following guidelines.To qualify as an organized group (and receive the group rate) you must meet the following requirements:- You must have 15 or more people. If you have fewer than 15 people, we welcome you to visit the museum at any time as general visitors. - Your preferred visit date must be at least two weeks from the date you submit this form. If you are hoping for a visit date sooner than two weeks away, please contact info@fcmod.org. Extra charges may apply, and FCMoD cannot guarantee accommodation for your group. - Please read through our Field Trip offerings and Field Trip policies for important information about your visit before filling out this form. - Submission of this form is NOT a confirmed reservation. A staff member will be in touch to discuss details of your visit and to confirm the reservation. If you do not hear back from a staff member within three business days of your submission, please contact us at info@fcmod.org.* My group meets the requirements listed above. Organization/School InformationPlease enter your school or organization information.Organization/School Name* Address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Contact InformationThis information should pertain to the teacher/chaperone accompanying the students to the Fort Collins Museum of Discovery. If someone other than the teacher/chaperone is making the reservation, please make note of this in notes section at the end of this form.Name* First Last Position Phone*Email* Enter Email Confirm Email Plan Your VisitPLEASE NOTE **Field Trips and Group Visits are not available during Poudre School District School Out Days, including PSD's Spring Break**Preferred Date of VisitPlease choose your preferred date of visit below as well as a second date in the event your first date is not available. Preferred Date of Visit (must be at least two weeks away)* MM slash DD slash YYYY Second Choice of Date of Visit (must be at least two weeks away)* MM slash DD slash YYYY Time of VisitPlease choose what time you would like to arrive at the museum. First entry for school groups is at 9:30am.Arrival Time* : Hours Minutes AM PM AM/PM Departure Time* : Hours Minutes AM PM AM/PM Group InformationPlease tell us about who will be attending the museum with your group. The museum offers further field trip discounts to schools with 40% or greater Free & Reduced Lunch eligibility (as cited by the Colorado Department of Education or the Wyoming State Board of Education for the current school year). These additional discounts are commensurate with the school’s overall Free & Reduced rate and apply across the full field trip experience (dome shows, labs, etc.). Please contact us to confirm your school's Free & Reduced Lunch percentage.Free and Reduced Lunch EligibilityDoes your school have 40% or greater Free and Reduced Lunch eligibility?NoYes*If yes, please enter the percentage here: Maximum Number of Students Anticipated (Must have 15 or more students to receive the group rate)*Please enter a number from 1 to 300.Maximum Number of Adults Anticipated (Must have 1 to 5 ratio)* Please enter a number from 1 to 300.Grade(s) Number of classes (if applicable) What is the purpose of your visit? (ex: “Studying local history”, “Researching simple machines”, “Biomes”, ““Music exploration”, etc.) Group Visit Add-onsPlease select which programs you would like to add to your visit to the museum.Dome Show Add-OnThe OtterBox Digital Dome Theater is a unique immersive learning space for students of all ages. New concepts and content come alive in this environment, and even familiar material can be experienced and understood in a whole new way. The Dome is a 39’ diameter, 360° digital theater where viewers are surrounded by high-resolution video and audio. The theater has 80 fixed seats and an ADA-accessible seating area. More information about dome show offerings is available at fcmod.org/domeshows.Would you like to add a Dome Show to your reservation?*Not right nowI would like to discuss my options with FCMoD staffYesDome Shows Recommended for Pre-K through 2nd Grade: One World, One Sky: Big Bird’s Adventure Dome Shows Recommended for 3rd Grade and up: CAPCOM GO! The Apollo Story Dream to Fly Lunch Room AccommodationsLunch space is available at FCMoD! While there is no in-house catering, groups are welcome to bring sack lunches to eat onsite. Learning Lab rental for lunches is $15 per 30 minutes. Each Learning Lab can fit up to 36 seated students, and the two Labs can be opened up to accommodate up to 72 seated students at a time. Depending on the size of the group, lunch space may only be available on a rotational basis. FCMoD is also next door to Lee Martinez Park, which offers outside lunch option for groups. It is just a short walk into the park, which has covered picnic tables as well as a playground. Lunch space is available from September through May. We recommend booking lunch space as a back-up, even if your group is planning to eat outside. Please note that if you do not book a room in advance, the museum cannot guarantee indoor space for your group. Groups are not permitted to eat in the Museum Café or in the school group hallway.Would you like to reserve the Learning Lab(s) for lunch? (Available from September through May)*Cost is $15/per room/per half hour. Please note that if you do not book a room in advance the museum cannot guarantee indoor space for your group.Not right nowYesI would like to discuss this option with FCMoD staffNotes