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.

{ binding firstError.message }
{ binding firstError.message }

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 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 }
{ 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 }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{ 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".

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

{ 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 }

**This number contains both Teachers and Non-teacher chaperones. Please consider your Teacher count when planning how many chaperones to bring.**

{ 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 }

We are currently only accepting field trip groups on Tuesdays, Wednesdays, and Thursdays.

{ binding firstError.message }

We are currently only accepting field trip groups on Tuesdays, Wednesdays, and Thursdays.

{ binding firstError.message }

We are currently only accepting field trip groups on Tuesdays, Wednesdays, and Thursdays.

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

Groups doing 10:30 Arrival may only see one show.

Groups must leave by 12:00 PM.

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

DOME SHOW SEATING CAPACITY:40

IMAX SHOW SEATING CAPCACITY: 40

 

Would like to seeWe do not want this experience
{{ $context.parentContext.dataItem.get_label() }}
{ binding firstError.message }
{{ $context.parentContext.dataItem.get_label() }}
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Click here for a list of DOME theater shows

{ binding firstError.message }

Click here for a list of IMAX films

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

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

{ binding firstError.message }
{ binding firstError.message }

Reservations Request Form

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

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}
{ 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 }
Please Explain {{ 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 }
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 }
If you have your Tax Exemption TC-721 or TC-721G form you may attach that 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".

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

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

Groups must leave by 12:00 PM.

Choice {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Theater Preference {{ 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 }
{ 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 first show choice for the IMAX? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Which 6th grade show would you like? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

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 }
{ binding firstError.message }
{ binding firstError.message }
Cognito Forms{{ Cognito.resources["powered-by-cognito"] }}