Request Reservation Step 1 of 4 - Organization/School Information 25% Organization/School InformationPlease enter your school or organization information.Organization/School Name*Address* Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Contact InformationThis information should pertain to the teacher/chapparone accompanying the students to the Fort Collins Museum of Discovery. If someone other than the teacher/chapparone is making the reservation, please make note of this in notes section at the end of this form.Name* First Last PositionPhone*Email* Enter Email Confirm Email 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.Prefered Date of Visit* Second Choice of Date of Visit* Time of VisitPlease choose what time you would like to arrive at the museum. First entry for school groups is at 9:00am.Arrival Time* : HH MM AM PM Departure Time : HH MM 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 2016-17 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.) Click here to find your school’s Free & Reduced Lunch percentage:Colorado Schools and Wyoming Schools.Free and Reduced Lunch EligibilityDoes your school have 40% or greater Free and Reduced Lunch eligibility? Yes No *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 value between 1 and 300.Maximum Number of Adults Anticipated (Must have 1 to 5 ratio)*Please enter a value between 1 and 500.Grade(s)What is the purpose of your visit? (ex: “Studying local history”, “Researching simple machines”, “Biomes”, ““Music exploration”, etc.) Group Visit AddonsPlease select which programs you would like to add to your visit to the museum.Would you like to add a Digital Dome Show to your reservation?*YesNot right nowPlease select which Digital Dome Show(s) you might be interested in. Incoming! Dynamic Earth One World, One Sky: Big Bird’s Adventure Life: A Cosmic Story Dream to Fly The Accidental Astronauts IBEX: Search for the Edge of the Solar System Cosmic Safari: The Search For Life in the Universe Experience The Aurora Invaders of Mars Secret Lives of Stars New Horizons Seven Wonders Ice Worlds Violent Universe Would you like to add a Learning Lab to your reservation?*YesNot right nowPlease select which Learning Lab(s) you might be interested in. Heart Healthy Electro Lab Creatures of the Sea Junior Paleontologist History Mystery Sink or Float Would you like to add Storytime Adventures to your reservation?*YesNot right nowPlease select which Storytime(s) you might be interested in. Baby on Board Dino Tracks Dino Treasures If You Love Honey Over on the Farm The Prairie That Nature Built Pitter and Patter Would you like to add a Historic Courtyard Program to your reservation?*YesNot right nowPlease select which Historic Courtyard Program you are interested in. Boxelder Schoolhouse & Auntie Stone’s Cabin FC Through Time Would you like to reserve the Learning Lab(s) for lunch?*Cost is $15/per room/per half hour.YesNot right nowNotesField Trip Policies*I have read and accept the Fort Collins Museum of Discovery Group Policies. I agree Website
