Homeschool Visit Request Form

URL

This field is for validation purposes and should be left unchanged.

Homeschool Name*

Homeschool Registration / ID #*

Homeschool Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Number of Chaperones*

Ratio of 1 chaperone per 10 students required

Number of Students*

Age(s) of Students*

Focus of Study*

Transportation*

Group Leader Name*

First Last

Group Leader Cell Phone*

Group Leader Email*

Preferred Month*

Preferred Day*

Alternate Month*

Alternate Day

Alternate Month 2*

Alternate Day 2

Include immersive Dome experience for an additional $10 per person

If YES, please note the Dome experience you would prefer:

Notes or Special Needs:

Your Name*

Your Role*

Reservation Confirmation*

I understand the final confirmation of guests and final visit details are due 2 weeks prior to my reservation.

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