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Form Test
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Form Test
Book a Trip
"
*
" indicates required fields
Point of Contact's Name
*
Point of Contact's Email
*
School/Group Name
*
School District
*
Is this a Title 1 school?
*
Yes, this is a Title 1 school.
No, this is not a Title 1 school.
Is this a KHA (Kids Hope Alliance) field trip?
*
Yes, this is a KHA field trip.
No, this is not a KHA field trip.
Grade Level(s)
*
School Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Number of Students
*
Number of Teachers
*
Number of Chaperones
*
Arrival Time
*
Hours
:
Minutes
AM
PM
AM/PM
Schools must arrive by 10:30 AM for morning Field Trips.
Departure Time
*
Hours
:
Minutes
AM
PM
AM/PM
Schools may stay until 12:30 PM on Tuesdays and Wednesdays, or 5 PM on Mondays, Thursdays through Saturdays.
Phone Number and Extension
*
Will any students require additional supports, such as wheelchairs, noise cancelling headphones, or school-provided paraprofessional services?
*
Preferred Date
*
MM slash DD slash YYYY
Alternative Date(s)
*
Please list your second and third choices for dates (month/day/year) in case the preferred date is unavailable. If you are not interested in any other dates, please write "Cancel my booking if date unavailable."
Program Selection
Please select a program you are interested in. Each educational program is an additional $7 per person. To view the programs in further detail
click here
.
Planetarium
Skies Over Jacksonville
A Tour of the Solar System
Energy: From Stars to Spinach
The Little Star That Could
Zula Patrol
Molecularium
Earth, Moon & Sun
Oasis in Space
Astronaut
Black Holes
Dynamic Earth
No Program
Hidden
Planetarium
Skies Over Jacksonville
A Tour of the Solar System
Energy: From Stars to Spinach
The Little Star That Could
Zula Patrol
Molecularium
Earth, Moon & Sun
Oasis in Space
Astronaut
Black Holes
Dynamic Earth
If you would like to add a Planetarium Show for an additional $7 per person, please select one Program you are interested in.
Science Shows
Science 101
What's the Matter?
Energize Me
Wild Weather
Happenin' Habitats
It All Makes Sense
No Program
Workshops
Construction Instruction
How Slow Can You Go?
Roller Coaster Classroom
Red Rover Mars Robotics
Timucuan Pottery Workshop
No Program
Hidden
Education Programs
Science Methods
What's The Matter?
Energize Me
Wild Weather
Volts and Jolts
Construction Instruction
How Slow Can You Go?
Red Rover Mars Robotics
Roller Coaster Classroom
Timucuan Pottery Workshop
Happening Habitats
It All Makes Sense
The Human Body Machine
If you would like to add a an Educational Program for an additional $7 per person, please select one Program you are interested in.
Hidden
Applied Science
Construction Instruction
How Slow Can You Go?
Red Rover Mars Robotics
3D Print Workshop
Roller Coaster Classroom
Hidden
History
Flags Over Florida
Timucuan Pottery Workshop
Hidden
Natural Science
Happening' Habitats
It All Makes Sense
The Human Body Machine
Comments
Captcha
By submitting this request, you understand that: MOSH requires at least 1 adult to be present per 10 children. MOSH cannot guarantee availability of your desired date. Space is limited for Science and Planetarium Shows. MOSH cannot guarantee availability of programs. Due to high demand, please allow five (5) business days for MOSH to respond to your inquiry.
