Field Trip Pre-Registration

PHONE: 216.621.2400 EMAIL: edhelp@glsc.org Plan a Field Trip

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Group or School Name *

Email *

Address *

City *

State *

Zip *

School District

Title I School

Yes, my school is a Title I School

Contact Person *

Phone Number *

Fax Number

Alternate Phone Number

Grade Level *

Number of Adults *

Number of Students *

Lunch Option *

We are interested in pre-ordering lunches

We will be bringing our own bagged lunches

We are not eating at Great Lakes Science Center

DOME Theater *

Yes, I would like to add a DOME Theater film to my field trip

No, I would not like to add a DOME Theater film to my field trip

Steamship William G. Mather *

Yes, I would like to add a tour of the historic Steamship William G. Mather

No, I would not like to add tour of the historic Steamship William G. Mather

Seasonal May - October

Estimated Arrival Time *

Estimated Departure Time *

Possible Field Trip Date #1 *

Possible Field Trip Date #2 *

Possible Field Trip Date #3 *

Leave this field blank

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