Portable Planetarium Request Form

Request a Portable Planetarium Show to come to your group using this form. Click here to see program descriptions and pricing information.

Contact Information

Contact Person's Name(required)

Teacher's Name (if different)

School/Group Name(required)

Email(valid email required)

Verify Email(valid email required)

Phone Number(required)

Fax Number

Address(required)

City(required)

State(required)

Zip Code(required)

Number of Children(required)

Number of Adults(required)

Our Portable Planetarium Shows are available Tuesday - Saturday

Preferred Date(required)

Preferred Time (Programs are available from 9AM to 3PM)

Alternate Date 1(required)

Alternate Time (Programs are available from 9AM to 3PM)

Please select your planetarium shows below.

Portable Planetarium Show 1

Grade Level for Show 1(required)

Portable Planetarium Show 2

Grade Level for Show 2

Portable Planetarium Show 3

Grade Level for Show 3

Portable Planetarium Show 4

Grade Level for Show 4

Check here if you would like to schedule more than 4 portable planetarium shows and would like our reservations associate to call you for more information.

Check here for groups with special needs

Please provide a brief description

Additional Information or Questions

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