	Would like to see	We do not want this experience
{{ $context.parentContext.dataItem.get_label() }}	{ binding displayValue, mode=oneTime }

{{ $context.parentContext.dataItem.get_label() }}	{ binding displayValue, mode=oneTime }

Reservations Request Form

We are not currently accepting field trip requests. We will send out an announcement on our Educator Newsletter when we are able to start offering this program again. If you have any questions, or would like to be added to the Educator Newsletter, contact clarkreservations@slco.org.

Please leave your name and email so we can reach out to you. While we are unable to offer in person field trips, we do have other options for schools and want to provide opportunities for groups.

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

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 ClarkReservations@slco.org or 385-468-1227.

Contact Information

Reservation Contact Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Will this be the person accompanying the field trip? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

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

{binding displayValue}

Group Information

What School District is your group from/ affiliated with? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Is your homeschool affiliated with a Utah Public School? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Is your school a Title 1 School? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Please Explain {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Is your school/organization Tax Exempt in the state if Utah? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

What state is your school from? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

If you have your affidavits ready you may add them here {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

If you have your Tax Exemption TC-721 or TC-721G form you may attach that here. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

School/Organization/Group Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

School/Organization Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

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".

Group numbers cannot exceed total of 40 and must be a miniumum of 15

Students {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Teachers {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Non-Teacher Chaperones {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Adults (13 years +) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Children (3 years-12 years) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Children (2 years and under) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Grade or Grade Range of Students {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Total Group Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Total Free Adults Allowed: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

How many Students are affiliated with a Utah School District? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Does anyone in your group require wheelchair preferred seating? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

How many seats do you requre? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Does anyone in your group have hearing impairment? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Will they be bringing a sign language interpreter? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Will they require closed captions for the IMAX theater? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

How many devices does your group need? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Is anyone in your group providing 1 on 1 assistance? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

How many people are providing 1 on 1 assistance? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Trip Information

First Date Choice {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Second Date Choice {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Third Date Choice {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Will your group be arriving with a bus? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

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 displayValue}

How many buses will you be bringing? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Arrival Time {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Groups must leave by 12:00 PM.

Choice {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Theater Preference {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

What priority should we give your requested theaters? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Which 6th grade show would you like? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Groups may visit store if time allows after shows on way out of the building

Any special requests, concerns, or any other information we might need to know? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }