LASM 2013 Summer Reservation Form
ONLINE INSTRUCTIONS
1.
Complete the summer reservation form with your information and press the
SEND
button.
2.
Please complete a separate form for each visit.
3.
*Items marked with a red asterisk are required.
4.
After we receive your form, you will receive a confirmation stating the date, time, schedule, cost per person, and deposit information. Please allow up to three business days to receive your confirmation.
5.
Your reservation is
NOT
final until you fax a
SIGNED
copy of your confirmation to LASM at 225-214-1445.
GROUP INFORMATION
*
Group Name
*
Address
*
City
*
State
*
Zip Code
*
Phone Number
Fax Number
*
Contact Person
*
Contact's E-mail
GUEST INFORMATION
*
Number of Children
*
Age Range
to
*
Number of Chaperones/Adults
I have children with special needs
Yes
No
If yes, please let us know what special accommodations we should make:
DATE OF VISIT (Note, LASM is closed on Mondays)
*
First Date Choice
(mm/dd/yyyy)
*
Second Date Choice
(mm/dd/yyyy)
*
Arrival Time
*
Departure Time
How would you like to receive your confirmation?
Fax
Email
Mail
If you are unable to take advantage of your scheduled visit to The Museum Store at LASM, please comment:
PROGRAM TITLE
Planetarium Shows
$3.50/person
none
The Little Prince (through June 30)
The Little Star That Could (begins July 1)
The Life of Trees (through June 30)
Dynamic Earth (begins July 1)
We Are Aliens! (through June 30)
Dinosaur Passage to Pangaea (begins July 1)
Digital Universe
Earth's Wild Ride
Mummies: Secret of the Pharaohs
Auditorium Interactive Programs
$3.50/person
none
Shake, Rattle, and Roll
Miss Trudy's Traveling Trunk Show
We Know NANO!
Auditorium Films
$3.50/person
none
Forces of Nature
The Pluto Files
Whales: An Unforgettable Journey
Museum Gallery Add-ons
$0.50/person per gallery
Museum Gallery Add-ons are available for $.50 per child and chaperone for each Gallery. Please select from the following:
Ancient Egyptian Gallery
Art Gallery (closed July 15-19)
Discovery Depot
Science Station
Solar System Gallery
Additional Comments
We recommend that you print this page before clicking the
SEND
button.