ScienceWorks Hands-On Museum

Group Visit Request

Please complete the form below and click submit.  You will be contacted within 5 business days to schedule your visit.

* Group Name 
* Phone 
* Email 
* Date of Visit: First Choice 
* Date of Visit: Second Choice 
Additional Comments 
* Contact Person 
* Time of Visit 
* # of Adults 
* # of Children ages 2-12 
* # of Seniors age 65+ 
* # of Teens (under 18) 
* Age Range of Group 
* Total Estimated Cost ($6 for kids ages 2-12, $8 for teens and adults, $6 for seniors age 65+) 
* Mailing address 
* City 
* State 
* Zipcode 
Admission must be paid in full before or on the day of your visit, in one lump sum.  We cannot take individual admission payments for group visits.
If you have questions regarding the site, please contact the webmaster.
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