2. Monroe Science Center Group Request Form

3. 
5. Contact First Name*
6. Contact Last Name*
8. On site Day of Contact First Name*

   This person will be the responsible party who will be present on the date of the visit. This person must read and agree to the behavior guidelines before visiting the science center. 

9. On site Day of Contact Last Name*
11. Business/Organization*
13. Contact/Organization Address*
15. City*
16. State*
17. Zip Code*
19. Email*
20. Group Type*

    Ex. Church, school, non-profit, etc.

22. Contact/Organization Phone*
23. Cell Phone*

    In case of emergency while you're on site

25. Number of Adults*
26. Number of Children Over 2 Years of Age*
28. Number of Children Under 2 Years of Age*
30. Method Of Transportation:*

    1. Buses
    2. Vans
    3. Personal Vehicles
32. Visit Date First Choice*
    Visit Date First Choice

    Visit Date First Choice
33. Visit Date Second Choice*
    Visit Date Second Choice

    Visit Date Second Choice
34. Visit Date Third Choice*
    Visit Date Third Choice

    Visit Date Third Choice
36. Please read and check the box for understanding:*

    1. Request Forms must be submitted at least two weeks before your requested visit date.
    2. Payment is required prior to your scheduled arrival and before your group may enter the science center. If payment is not received, the Monroe Science Center reserves the right to cancel your group visit and the group rate will no longer apply.
    3. All children and chaperones not paid for prior to the group’s arrival will be charged general admission price of $10 each at check-in.
    4. We require one adult (16 years old or older) for every 10 children (under 14 years old). Adults must be actively supervising children and not just physically be present.
    5. All cancellations must be submitted via email or phone. If payment has already been made, a credit in the payment amount will be retained on the group's account to apply towards a future visit within one year of the scheduled visit.
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field