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School
Group Leader
What are the grades of your students?	1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade Not Applicable
Address
City
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Cell Phone Number On Day Of Trip
Cell Phone
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Day/Date of Visit

Thursday, May 20th is Physics Day. If it is not convenient for your group to come on that date the Physics program can be utilized on any of our Education Days.

Admission Tickets $15.25 each ticket For every 10 purchased you receive 1 complimentary
Type of Admission	Quantity	Amount* (after complimentary ticket deduction)
Total # of Tickets You Wish To Have (including Complimentary)		$0.00
Complimentary	0
Bus Drivers	Free with CDL. Drivers should report to Guest Relations.
Admission Total >		$0.00

Meal Deal Tickets
Type of Meal Plan	Quantity	Rate	Amount
Pizza		@ $6.00	$ 0.00
A Hotdog Or Hamburger With French Fries		@ $6.00	$ 0.00
Soda	Provided free to all students throughout the day.
Meal Deal Total >			$ 0.00

Total Order
	Amount From Above
Admission Total >	$ 0.00
Meal Deal Total >	$ 0.00
Total Due >	$ 0.00
How are you planning to pay? If paying by check, Check must be recieved two weeks prior. Check Number(optional)
Office Use Only
Yes, I do plan to utilize one or more of the self guided Education Days Programs with my students.
Please contact me about a catered lunch for my students. I will have a minimum of 150 attending.
Please review the above information and click send. Once sent, your reservation is complete and you will receive a confirmation email with detailed information. If for some reason there is a problem with your reservation you will be contacted. If you need to cancel your reservation after submitting, please call: 860-583-3300 x6906.