Camp-In Request Form

Request a Camp-In at the Science Center using this form. Click here to read a program description.

Contact Person's Name: *

School/Group Name: *

Email: *

Phone Number: *

Fax Number: *

Address: *

City: *

State: *

Zip Code: *

Number of Campers ($40 per camper): *

Grades: *

Number of Adult Chaperones ($20 per chaperone): *

Please select a date for your program below.: *

Camp-ins can be booked on Friday and Saturday evenings throughout the year. All dates are subject to availability.

(required) Alternate Date 1: *

Check here to add pizza dinner for $6 per person:

Yes

(standard camp-in rate includes an evening snack and a light breakfast)

Check here for groups with special needs:

Yes

Please provide a brief description:

Additional Information or Questions:

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