Your Group School/Group Name * School District * Address Address 1 * Address 2 City * State * - Select -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming--Armed Forces (Americas)Armed Forces (Europe, Canada, Middle East, Africa)Armed Forces (Pacific)American SamoaFederated States of MicronesiaGuamMarshall IslandsNorthern Mariana IslandsPalauPuerto RicoVirgin Islands ZIP code * County Coordinator First Name * Coordinator Last Name * Email * Coordinator Title/Role * Teacher Administrator Parent Librarian Other School Phone * Cell/Evening Phone * Other Phone Any special needs we should be aware of so we can accommodate? * First Preferred Date * “Mon-Fri” * Date * E.g., 09/18/2024 Second Preferred Date * “Mon-Fri” * Date * E.g., 09/18/2024 Third Preferred Date * “Mon-Fri” * Date * E.g., 09/18/2024 How Did You Hear About the Institute's Group Programs? * - Select a value -Educator GuideWebsiteReturning GuestWord of MouthPostcardEmailBillboardOther Outreach Program Details Program Choice(s) * Acheson Mobile Planetarium PreK-9+ Approaches to Problem Solving 3-5 Claim, Evidence, Reasoning 3-8 Dino Tale PreK-2 Every Rock Has a Story 6-9+ How Did T-Rex Become Ruler of the Dinosaurs 3-9+ Light & Sound PreK-5 Matter & Energy K-8 Money! 3-5 Our Dynamic Earth 3-5 Physics of Fling 3-9+ Science Sampler PreK-9+ Webs, Wings & Crawling Things PreK-2 What Makes Objects Move? PreK-2 Note additional Travel Fees Apply: Macomb, Oakland, Wayne: $65; Genesee, Lapeer, Livingston, Washtenaw: $90; Ingham, Monroe, St. Clair, Saginaw, Sanilac, Shiawassee, Tuscola: $120 ; Bay, Clinton, Eaton, Jackson, Lenawee: $145; Calhoun, Gratiot, Hillsdale, Huron, Ionia, Midland: $16; Arenac, Barry, Branch, Clare, Isabella, Kalamazoo, Kent: $200 How is this visit being funded? * Parent Pay PTO Grant Funded District Funded School Funded State Funded (Title 1, ESL, etc.) ESSR EANS Local Business Other What time would you like the event(s) to start? * Any specific requests you'd like to make? Please detail below. Anything else you'd like us to know? Please detail below. Classroom #1 Information Class #1 Teacher Name * Class #1 Teacher Email * Preferred Class#1 Program Start Time * Class #1 Grade * Class #1 Number of Students * Classroom #2 Information Class #2 Teacher Name Class #2 Teacher Email Preferred Class #2 Program Start Time Class #2 Grade Class #2 Number of Students Classroom #3 Information Class #3 Teacher Name Class #3 Teacher Email Preferred Class #3 Program Start Time Class #3 Grade Class #3 Number of Students Classroom #4 Information Class #4 Teacher Name Class #4 Teacher Email Preferred Class #4 Program Start Time Class #4 Grade Class #4 Number of Students Classroom #5 Information Class #5 Teacher Name Class #5 Teacher Email Preferred Class #5 Program Start Time Class #5 Grade Class #5 Number of Students Deposit & Agreements Deposit * $100 You are paying a $100 registration fee to make a temporary reservation with Cranbrook Institute of Science. To secure your reservation, your remaining balance is due 45 days prior to your program(s). The registration fee will count towards the final balance. Confirmation * - Select a value -I understand and agree You are responsible for paying your remaining balance to the Institute’s Reservations Office no less than 45 calendar days prior to the day of your visit. No refunds or credits will be given the day of the visit. Confirmation * - Select a value -I understand and agree Cancellations made more than 45 calendar days before the date of visit can be rescheduled with no additional fees. Your $100 registration fee will be credited towards a future visit occurring before May 30, 2025, or forfeited should rescheduling not be feasible. Confirmation * - Select a value -I understand and agree Cancellations in writing made less than 45 calendar days before the date of visit forfeit registration fees and payments. Confirmation * - Select a value -I understand and agree Memberships and Free Passes are not applicable to SoG events. Confirmation * - Select a value -I understand and agree An Employee of the District/School is required to be present in the room with the class for the duration of the program. Confirmation * - Select a value -I understand and agree Leave this field blank Proceed to Checkout