All questions marked by an asterisk are required

Event Name: 2013-2014 Field Trip Reservation
*Are you applying for a field trip scholarship?
Yes**
No


**IF YOU CLICKED 'Yes' ABOVE, DO NOT FILL OUT THE REST OF THIS FORM. INSTEAD, USE THE FOLLOWING LINK:

Scholarship Field Trip Request Form.

Thank you for submitting your Field Trip reservation request online. Please provide all of the information requested in this form and our staff will contact you directly to confirm the details of your reservation. The first e-mail you will receive will be a confirmation of your REQUEST, not a confirmation of your RESERVATION.


 

  {xxx-xxx-xxxx}
  
  


Please provide three possible dates for your visit, in order of preference.

 

*Which Planetarium show(s) would you like to see?
Select all that apply:
One World, One Sky: Big Bird's Adventure (Pre-K)
Magic Tree House Space Mission (Grades K-3)
Earth, Moon and Sun (Grades 1-5)
Solar System Odyssey (Grades 3-8)
Carolina Skies - Upper Elementary (Grades 3-5)
Carolina Skies - Middle and High School (Grades 6-12)
Astronaut (Grades 4-12)
Wildest Weather in the Solar System (Grades 4-12)
Black Holes: Journey into the Unknown (Grades 4-12)
Galileo: the Power of the Telescope (Grades 4-12)
Dynamic Earth (Grades 5-12)
The Longest Night (Grades 2-12)
We will not see a Planetarium show
*Which Science Live! programs would you like to see?
Select all that apply:
Phenomenal Physics (Grades 2-12)
Magnificent Matter (Grades 2-12)
All Systems Go (Grades 2-12)
Science Showtime (Grades K-1)
We will not see a Science Live! program
*Which Discovery Classes would you like to reserve?
Select all that apply:
Round and Round We Go! (Grades 3-4)
Solar Systematics (Grades 3, 5-7)
Built To Tilt (Grades 5-6)
Discovering Our State (Grade 4)
We will not reserve a Discovery Class
  
*Do you plan to eat lunch during your visit?
*How will you travel to Morehead?
School bus
Charter bus
Mini-bus
Van
Cars
Chapel Hill Transit (Bus)
Walk
*Do you plan to visit the Gift Shop?
*How would you prefer to be contacted to review and confirm your reservation?
  {Checking this option will save your information for future registrations}

 

After you hit the "submit" button, you should receive an e-mail confirmation within 15 minutes.