Reservations Request Form

Thank you for your interest in scheduling a trip at Clark Planetarium!

Please fill in the boxes below to the best of your ability and hit submit when you are finished.

 If you have any questions feel free to contact the Reservations team at reservations@clarkplanetarium.org or 385-468-1227.

Contact Information

Reservation Contact Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
YesNo NoYes
{ binding firstError.message }
If not: Name of Lead Teacher accompanying group {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
.
{ binding firstError.message }

Group Information

{ binding firstError.message }
{ binding firstError.message }
Is your homeschool affiliated with a Utah Public School? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Is your school a Title 1 School? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Is your school/organization Tax Exempt in the state if Utah? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
{ binding firstError.message }
School/Organization Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
If making a reservation for a Family or Homeschool group with no address, put the address of the Contact Person.

When providing group numbers, give your best estimate as to how many will be attending for each section below. If you do not have anyone attending from a specific section, please type a "0".

If you need to alter your numbers, contact reservations no later than 2 business days before your trip.To report changes, email reservations@clarkplanetarium.org with your group name and date of reservation or call 385-468-1227.

{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
We will round to the nearest whole number. This number is subject to changed based on the ratio of students to adults.
{ binding firstError.message }
Does anyone in your group require wheelchair preferred seating? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Does anyone in your group have Hearing Impairment? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Will they be bringing a sign language interpreter? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Will they require closed captions for the IMAX theater? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Is anyone in your group providing 1 on 1 assistance? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Trip Information

{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Will your group be arriving with a bus? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Our Bus Loading Zone has moved, we will send a map with a new loading zone with your confirmation. Please choose one option. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
School groups can arrive as early as 9:00 AM
{ binding firstError.message }
YesNo NoYes
{ binding firstError.message }
What priority should we give your requested theaters? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
First Choice Second Choice Third ChoiceWe do not want this experience
{{ $context.parentContext.dataItem.get_label() }}
{ binding firstError.message }
{{ $context.parentContext.dataItem.get_label() }}
{ binding firstError.message }
{{ $context.parentContext.dataItem.get_label() }}
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Which grade core subjects would you like? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Which 6th grade show would you like? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Would you like to visit the: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Do you want to add a Popcorn and Drink order for $2/ person? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
only available for IMAX films 11:00 AM or later
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Reservations Request Form

Reservations Request Form

Thank you for your interest in scheduling a trip at Clark Planetarium!

Please fill in the boxes below to the best of your ability and hit submit when you are finished.

 If you have any questions feel free to contact the Reservations team at reservations@clarkplanetarium.org or 385-468-1227.

Contact Information

Reservation Contact Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Will this be the person accompanying the field trip? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
If not: Name of Lead Teacher accompanying group {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

Group Information

What type of group are you making this reservation for? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
What School District is your group from/ affiliated with? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Is your homeschool affiliated with a Utah Public School? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Is your school a Title 1 School? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Is your school/organization Tax Exempt in the state if Utah? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Please Explain {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
What state is your school from? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
If you have your affidavits ready you may add them here {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
School/Organization/Group Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
School/Organization Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

When providing group numbers, give your best estimate as to how many will be attending for each section below. If you do not have anyone attending from a specific section, please type a "0".

If you need to alter your numbers, contact reservations no later than 2 business days before your trip.To report changes, email reservations@clarkplanetarium.org with your group name and date of reservation or call 385-468-1227.

Students {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Teachers {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Non-Teacher Adults {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Adults (13 years +) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Children (3 years-12 years) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Children (2 years and under) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Grade or Grade Range of Students {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Total Group Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Total Group Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Total Free Adults (Teachers and Non-Teacher Adults) allowed: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
How many Students are affiliated with a Utah School District? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Does anyone in your group require wheelchair preferred seating? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
How many seats do you requre? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Does anyone in your group have Hearing Impairment? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Will they be bringing a sign language interpreter? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Will they require closed captions for the IMAX theater? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
How many devices does your group need? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Is anyone in your group providing 1 on 1 assistance? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
How many people are providing 1 on 1 assistance? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

Trip Information

First Date Choice {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Second Date Choice {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Third Date Choice {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Fourth Date Choice {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Will your group be arriving with a bus? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Our Bus Loading Zone has moved, we will send a map with a new loading zone with your confirmation. Please choose one option. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
How many buses will you be bringing? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
When can you arrive at the Planetarium? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
When do you need to leave the Planetarium? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Do you want to visit the IMAX, Dome, or Sphere theaters? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
What priority should we give your requested theaters? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ $dataItem.get_label() }}
{binding displayValue}
{ binding firstError.message }
{{ $dataItem.get_label() }}
{binding displayValue}
{ binding firstError.message }
{{ $dataItem.get_label() }}
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }
What is your first show choice for the IMAX? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
What is your second choice for the IMAX? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
What is your first show choice for the DOME? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
What is your second choice for the DOME? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Which grade core subjects would you like? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Which 6th grade show would you like? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
What is your first show choice for the Sphere? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
What is your second choice for the Sphere? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Would you like to visit the: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Do you want to add a Popcorn and Drink order for $2/ person? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
How many people would like this combo? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Any special requests, concerns, or any other information we might need to know? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Cognito Forms{{ Cognito.resources["powered-by-cognito"] }}