2021/2022 Pop Up Museum Registration Form
Overcoming Outbreaks
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Email *
School Name: *
Approximate number of students at your school: *
Your first name: *
Your last name: *
Grade level of students that will be using the Pop Up Museum: *
Required
Your county: *
School mailing address, including city: *
School zip code: *
Phone number to confirm your registration (please use the format XXX-XXX-XXXX): *
I am a: *
My FIRST choice month to host exhibit is: *
If a month does not appear in the options below, that month has no more sets currently available. If this fills completely, we may produce additional sets. Please choose "OTHER" if your preferred month is not shown as currently available. We will contact you within a few days to let you know the status of your request.
My SECOND choice month to host exhibit is: *
I agree to email at least one photo of the exhibit installed at my school before the end of my host month. *
I agree to complete and submit the Online Host Survey at the end of my host month. *
I agree to display the physical Pop Up Museum in a secure and supervised indoor location. I will also avoid exposing the exhibit to bright sunlight or moisture. *
I agree to save and store all shipping materials to use for shipping the physical exhibit to the next school. *
I agree to ship the Pop Up Museum before the end of my host month using the prepaid shipping label provided by MFMM. I understand that if I miss the scheduled pickup, I will need to either bring the Pop Up Museum to a FedEx Ground store (free) OR use my personal or school account to schedule a FedEx Ground pickup to my location (a $4.00 fee applies). *
I understand that this exhibit was created by the Mel Fisher Maritime Museum. This project was financed in part with historic preservation grant assistance provided by the Bureau of Historic Preservation, Division of Historical Resources, Florida Department of State, assisted by the Florida Historical Commission. However, the contents and opinions do not necessarily reflect the views and opinions of the Florida Department of State, nor does the mention of trade names or commercial products constitute endorsement or recommendation by the Florida Department of State. *
I understand that my reservation is NOT confirmed until I receive a confirmation email from the Mel Fisher Maritime Museum. *
Please let us know any questions you have about hosting the Pop Up Museum at your school.
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