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 List Any Special Needs/Requests * First Preferred Date * “Weds-Fri” * Date * E.g., 09/07/2024 Second Preferred Date * “Weds-Fri” * Date * E.g., 09/07/2024 Third Preferred Date * “Weds-Fri” * Date * E.g., 09/07/2024 How Did You Hear About the Institute's Group Programs? * - Select a value -Educator GuideWebsiteReturning GuestWord of MouthPostcardEmailBillboardOther Field Trip Details Grade of Students * - Select a value -PreKKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeMixed Grades If applicable, please specify number by grade. For example: 1st-50, 2nd-75, etc. Number of Students Per Grade * Number of Teachers Attending * How Many Classrooms/Classes Will be Attending? * Number of Chaperones Expected/Estimated * Mode of Transportation * School Bus Van/Small Bus Cars Students Bus/Chaperones Car Preferred Arrival Time * Preferred Departure Time * Lunchroom Requested * - Select a value -NoYes Lunch not included. Time in Gift Shop Requested * - Select a value -YesNo Do you consent to pictures being taken of your class(es) while at the Institute for promotional purposes? * YesNoNot Sure Program Choice(s) * Approaches to Problem Solving 3-5 Claim, Evidence, Reasoning 3-8 Cosmic Colors - An Adventure Along the Spectrum 6-9+ Diets of the Giants 3-5 Dino Tale PreK-2 Dinos Drawn Wrong 3-5 Dinosaurs at Dusk 3-9+ Earth's Changing Climate 3-9+ Earth's History 6-9+ Electricity & Magnetism 3-8 Every Rock Has a Story 6-9+ Evolution of the Stars 6-9+ Forces & Motion K-5 From Dream to Discovery: Inside NASA Engineering 6-9+ Frontier Michigan K-2 Fur Trade Alive! 3-5 How Did T-Rex Become Ruler of the Dinosaurs 3-9+ Let It Snow PreK-9+ Light & Sound PreK-5 Matter & Energy K-8 Michigan Ecosystems 3-5 Michigan Sky Tonight 3-9+ Money! 3-5 More Money! 6-8 My Money! 9+ Mystery of the Christmas Star 3-9+ Natural Selection 6-9+ Night Sky Objects & Beyond 3-9+ One World, One Sky: Big Bird's Adventure PreK-2 Our Dynamic Earth 3-5 Pegboard Challenge 3-8 People of the Three Fires 3-5 Physics of Fling 3-9+ Process of Photosynthesis 9+ Reasons for the Seasons 4-9+ Season Changes & Moon Phases 4-9+ Secret of the Cardboard Rocket K-4 Solar System Exploration 4-9+ SpacePark360 K-9+ SpacePark360: Lucid Dreaming Edition K-9+ Stories in the Stars 5-9+ The Great Lakes & Beyond 3-9+ Weather, Climate & Our Planet 3-8 Webs, Wings & Crawling Things PreK-2 What Makes Objects Move? PreK-2 Young Stargazers Sky Journey PreK-2 1 program = $13, 2 Programs + $16, 3 Programs = $18 Note: Programs are 45 minutes in length 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 Deposit & Agreements Deposit * $100 Promotional Code 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 providing a final attendance count and paying your remaining balance to the Institute’s Reservations Office no less than 45 calendar days prior to the day of your visit. You are responsible for the amount due for your group based upon the number of attendees reported via this form, OR on file 45 calendar days in advance of your visit, OR the number of attendees present the day of your visit, whichever is greatest. No refunds or credits will be given the day of the visit. Confirmation * - Select a value -I understand and agree Only pre-registered attendees are guaranteed a program. Additional chaperones beyond the required ratios will be welcomed at $13 per person, but due to space limitations may not be able to attend all programs. 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 Within the Institute of Science chaperones will be required to directly supervise students and actively enforce proper museum behavior. Running, rough play, and touching displays behind barriers will not be permitted under any circumstances. Individuals or Groups displaying these behaviors will be asked to leave. Confirmation * - Select a value -I understand and agree Memberships and Free Passes are not applicable to Field Trip events. Confirmation * - Select a value -I understand and agree Leave this field blank Proceed to Checkout
