Exploration Place - Education - Homeschool Visit Registration Form

Homeschool Visit Registration Form

(This form is for Homeschools Only)

EP is committed to making scheduling visits as efficient as possible! This year we are introducing online registration. It's simple, just fill out the form below and select "submit". Your information will be sent directly to the Education Department who will then contact you to complete
your visit!

We look forward to working with you and your students this year. The EP Education Department is constantly seeking to improve its communication with you and is dedicated to providing quality programs to assist you will all of your needs. Should you have any questions, concerns, ideas or suggestions, please call (316) 660-0665.

Online Registration Form:

Name:

(required)

Address:

Phone Number:

Alternate Phone:

(required)

Fax:

Teacher/
Contact Name:

Teacher/
Contact Email:

(required)

Visit Date:
1st Choice:
2nd Choice:

Times:
Arrival Time:
Departure Time:

________________________________________________________________________________________________________

Grade level(s):

# of Teachers:

# of Students:

# of Bus Drivers

# of Chaperones:

*Education Pricing applies to everyone in the group; however group leaders, teachers and bus drivers receive free admission in most cases. Limit of 1 free group leader, teacher and bus driver per 15 students.

*We recommend that homeschool families collaborate with other families, as well as their associations to maximize the experience for the students.

________________________________________________________________________________________________________

I'd Like to Register for the following:

FETCH! with Ruff Ruffman Challenge

Cyberdome Show

Cyberdome, Traveling Exhibit and Specialty Programs

Eating Lunch at EP?

Preferred Luch Time:
Box Lunch?

YES!

*$6.50 per person, non-refundable.

Comments:

Yes! I would like to be added to EP's Education Email List to receive updates on programs and special education events.

*Please note: any changes to your visit must be made one week (7 days) prior to your visit, including cancellations. Any cancellation reported without one week’s (7 days) notice will be charged a $25 service fee. Box lunches are non-refundable.

To submit this form, please enter the characters you see in the left image: (required)