Make A Reservation

Please indicate your first and second choices for education programs using the form below. Please fill out the entire form to the best of your ability. Reservations are processed in the order received. Programs are not finalized until you receive email confirmation from us in return. For direct communication email our Education Coordinator or call 818-597-8627 x103.

Program 1

Location

Number of Students

Grade Level

Date

Number of Groups

Number of Adult Chaperones

Program 2

Location

Number of Students

Grade Level

Date

Number of Groups

Number of Adult Chaperones

Teacher Contact Information

Provide the first and last name of the teacher who will be our contact on program day, the teacher's email and phone number (cell preferred), the complete address of the school or organization, and its phone and fax numbers.

Name

Email

Phone Number

School Name and Address

School Phone Number

School Fax Number

School Type, School District and Mode of Transportation

Please indicate what type of school you belong to, what public school district it is in (even if the school is not public), and how you will travel to the program.

School Type

School District

Mode of Transportation

Other

Non-teacher Contact Information

If you're not the teacher, but coordinating on behalf of the teacher, provide your first and last name, your email and phone number. If you wish to receive the invoice at an address which is not the school's, please provide that address.

Scheduler Is...

Email

Name

Phone Number

Invoice Address

Program Notes

Notes