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.)
Contact Name
*
Organization Name
Email
*
Address
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State
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ZIP
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How did you hear about Cosmic Adventures?
Repeat Customer
Mailing
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Reference:
Other:
Date Requested
First Choice
Second Choice
Third Choice
Organization Type
School
Library
Summer Camp
Individual
Other
Audience Age/Grade Level (Please check all that apply, not including staff/chaperones)
PreSchool/Under 5 years old
Grades K-2/5-7 years old
Grades 3-5/8-10 years old
Grades 6-8/11-13 years old
Grades 9-12/13-17 years old
18 years old and up
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? (Our small dome holds about 25 people, needs at least 20 feet by 20 feet of floor space and 11 feet of ceiling clearance. The large dome holds about 50 people, needs at least 25 feet by 25 feet of floor space and 13 feet of ceiling clearance. The domes cannot be set up outdoors.)
Large Dome
Small Dome
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.
How many programs do you expect you will need?
Program(s) Requested (Program descriptions can be found
here (opens in a new tab):
)
A Brief Tour of the Universe
The Sky Tonight
The Star of Bethlehem
Voyage to the Moon
Moving Right Along
Sky Stories
What Is Up There?
Moons of the Solar System
Planets
Star Quest
StellarLunar
Astronomy of Lewis and Clark
Mars
Stellar Navigation
Solstice and Equinox
World in Motion
Astrology: Fact or Fiction
How do we Know?
Hubble Space Telescope
The Sun
Other
How do you anticipate paying for the visit? (We prefer payment by check on the day of the visit. Please note, there is 4% convenience fee for credit card payments.)
Check day of visit
Check within 30 Days of the visit
Check prior to the visit
Credit Card
Not Sure
Other
Coupon Code
Please add any questions, comments, or explanations here
