Drake Traveling Explorer Dome Reservations

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Drake Traveling Explorer Dome Reservations

This form is for making reservations with one of our Traveling Explorer Domes. If you would like to come to us for a Drake Field Trip, please make reservations with our Field Trip form.

**IMPORTANT: Please note that your date(s) cannot be reserved until a $100 deposit is received. Please call (513) 396-5578 to arrage payment or if you have problems with this form. All deposits for Traveling Explorer Dome reservations are non-refundable.**

ALL PORTABLE PLANETARIUMS REQUIRE INDOOR SPACE WITH ELECTRIC

First Name*

Last Name*

Name of Organization or School*

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Phone*

Email*

Grade level of students and/or subject:*

Total number of students/children in group:*

Total number of adults in group:*

Includes: Educators, Parents, and Chaperones

I would like Drake Planetarium & Science Center to send me information about upcoming events and programs.*

Yes, keep me updated! No, thank you.

Date/Time Request

Please provide three possible dates for your visit, in order of preference.

1st Choice for Date/Time of Visit:*

2nd Choice for Date/Time of Visit:*

3rd Choice for Date/Time of Visit:*

What is the earliest possible arrival time?*

What is the latest possible departure time?*

Program Selection

Which services would you like to reserve?

Portable Planetarium Traveling LEGO® Lab

Is there any other information you can share with us so that we can customize the best visit possible?

Are there any special needs/circumstances?

How would you prefer to be contacted to review and confirm your reservation?*

If you would prefer to be contacted by phone, please describe the ideal day/time to call you and provide the best number to reach you during that time:

Payment Information

Total Cost* $

Credit Card*

Payment

Quantity

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