Visit Request Form
Please fill in as many fields as possible; those with a
red asterisk (*)
are required. Visit
this page
for more information, or
contact us
with any questions. (Links open in new tabs.)
Organization Name
Contact Name
*
Email
*
Address
City
State
MD
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WV
--
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ZIP
Phone
*
How did you hear about Cosmic Adventures?
Repeat Customer
Mailing
Website
Reference:
Other:
Date Requested
1st Choice
2nd Choice
3rd Choice
Expected Audience Age/Grade Level
Audience Size (How many people in TOTAL do you expect to attend programs? Do not include staff/chaperones in your count unless there will be more than two per group of 25.)
Which planetarium?
(We currently have three different dome diameters available. The 4-meter dome requires at least 15 feet by 15 feet of open floor space and 9.5 feet of ceiling clearance. The 5-meter dome needs at least 20 feet by 20 feet of floor space and 11 feet of ceiling clearance. The 6-meter dome needs at least 25 feet by 25 feet of floor space and 13 feet of ceiling clearance.
The domes cannot be set up outdoors.
)
4-meter Dome (Small, Capacity 15)
5-meter Dome (Medium, Capacity 25)
6-meter Dome (Large, Capacity 50)
Not Sure
Where in your facility will we be setting up the planetarium? (See space requirements above.)
FYI, we need about one hour for set up prior to the first program and about 30 minutes for take down after the conclusion of the last program.
Program Content
(A list of available programs can be found
here
(opens in a new tab), but you can also suggest a topic, such as: Introductory Astronomy Lesson, Moon phases, Current Sky Tour, etc.)
How do you anticipate paying for the visit?
(We prefer payment by check on the day of the visit.)
Check day of visit
Check within 30 Days of the visit
Check prior to the visit
Credit Card
Not Sure
Other
Coupon Code
Questions? Comments? Clarifications? Please add them here
