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 
* Contact Person 
* Time of Visit 
* # of Adults 
* Mailing address 
* City 
* State 
* Zipcode 
* Age Range of Group 
* Total Estimated Cost ($6 for kids ages 2-12, $8 for teens and adults, $6 for seniors age 65+) 
* # of Children ages 2-12 
* # of Seniors age 65+ 
* # of Teens (under 18) 
Additional Comments 
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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