Cranbrook Institute of Science Member * Yes No Member Number Other Memberships DENSO Corporate Membership or Institute Pass DENSO employee name Flagstar Bank Corporate Membership or Institute Pass Flagstar Bank employee name PNC Bank Institute Pass PNC Bank employee name WIC/EBT Card Holder * Yes No ASTC Reciprocal Membership Institution (Ann Arbor Hands On/Impression 5 pay admission at arrival) ASTC Reciprocal Membership # First Name * Last Name * Email * Daytime Phone * Number of Adult Member/WIC/EBT/DENSO/Flagstar/PNC/ASTC Tickets * Number of Child Member/WIC/EBT/DENSO/Flagstar/PNC/ASTC Tickets * Number of Under 2 Member/WIC/EBT/DENSO/Flagstar/PNC/ASTC Tickets * Number of Adult Nonmember Tickets * Number of Child Nonmember Tickets * Number of Under 2 Nonmember Tickets * Number of Seniors (65+) Tickets * Visit Date/Time * Wednesday – September 9 – 10:00am-12:00pm Wednesday – September 9 – 12:30-2:30pm Wednesday – September 9 – 3:00-5:00pm Thursday – September 10 – 10:00am-12:00pm Thursday – September 10 – 12:30-2:30pm Thursday – September 10 – 3:00-5:00pm Friday – September 11 – 10:00am-12:00pm Friday – September 11 – 12:30-2:30pm Friday – September 11 – 3:00-5:00pm Friday – September 11 – 6:00-9:00pm Saturday – September 12 – 12:00-2:30pm Saturday – September 12 – 3:00-5:00pm Sunday – September 13 – 12:00-2:30pm Sunday – September 13 – 3:00-5:00pm Wednesday – September 16 – 10:00am-12:00pm Wednesday – September 16 – 12:30-2:30pm Wednesday – September 16 – 3:00-5:00pm Thursday – September 17 – 10:00am-12:00pm Thursday – September 17 – 12:30-2:30pm Thursday – September 17 – 3:00-5:00pm Friday – September 18 – 10:00am-12:00pm Friday – September 18 – 12:30-2:30pm Friday – September 18 – 3:00-5:00pm Friday – September 18 – 6:00-9:00pm Saturday – September 19 – 12:00-2:30pm Saturday – September 19 – 3:00-5:00pm Sunday – September 20 – 12:00-2:30pm Sunday – September 20 – 3:00-5:00pm Wednesday – September 23 – 10:00am-12:00pm Wednesday – September 23 – 12:30-2:30pm Wednesday – September 23 – 3:00-5:00pm Thursday – September 24 – 10:00am-12:00pm Thursday – September 24 – 12:30-2:30pm Thursday – September 24 – 3:00-5:00pm Friday – September 25 – 10:00am-12:00pm Friday – September 25 – 12:30-2:30pm Friday – September 25 – 3:00-5:00pm Friday – September 25 – 6:00-9:00pm Saturday – September 26 – 12:00-2:30pm Saturday – September 26 – 3:00-5:00pm Sunday – September 27 – 12:00-2:30pm Sunday – September 27 – 3:00-5:00pm I agree toYou are paying a $100 registration fee to make a temporary reservation with Cranbrook Institute of Science. To secure your reservation, half of your total balance is due within 3 weeks of receiving your initial schedule and invoice. The $100 registration fee will count towards this deposit. You are responsible for providing a final attendance count and paying your remaining balance to the Institute’s Reservations Office no less than 30 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 30 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. 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. Cancelations made more than 30 calendar days before the date of visit can be rescheduled with no additional fees. Your 50% non-refundable deposit will be credited towards a future field trip occurring before June 30, 2025. The remaining 50% will be refunded by check to the person who completed the reservation. Cancelations in writing made less than 30 calendar days before the date of visit forfeit registration fees and 50% deposit. Remaining 50% payment will be credited towards a future field trip before June 7, 2025. * 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. Thank you for requesting a date with Cranbrook Institute of Science. Requests are processed in the order they are received. Our team will be in touch within 3 business days to confirm dates and pricing. Please remember that submission does NOT guarantee programming or dates. We look forward to serving your group! I agree to the above * Yes Please add me to your email list for Cranbrook events and information * Yes No Leave this field blank Proceed to Checkout