Camp-In Request Form

1. Request a Camp-In at the Science Center using this form. Click here to read a program description.

Contact Information

1. Contact Person's Name(required)
2. School/Group Name(required)
3. Email(valid email required)
4. Verify Email(valid email required)
5. Phone Number(required)
6. Fax Number
7. Address(required)
8. City(required)
9. State Arizona - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
10. Zip Code
11. Number of Campers ($40 per camper)(required)
12. Grades select one - 2nd - 3rd grade 4th - 5th grade 6th - 8th grade High School (required)
13. Number of Adult Chaperones ($20 per chaperone)(required)
14. Please select a date for your program below. Camp-ins can be booked on Friday and Saturday evenings throughout the year. All dates are subject to availability.
15. Preferred Date(required)
16. Alternate Date 1(required)
17. Check here to add pizza dinner for $6 per person (standard camp-in rate includes an evening snack and a light breakfast)
18. Check here for groups with special needs
19. Please provide a brief description
20. Additional Information or Questions

 

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