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Traveling Planetarium Reservation Form
Please complete the following form to reserve the Traveling Planetarium. You will receive a confirmation when your reservation has been approved.
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* Indicates required question
District:
*
Your answer
Name of Person Requesting the Traveling Planetarium:
*
Your answer
Email address of contact person:
*
Your answer
Phone number of contact person:
*
Your answer
Did someone from your District attend the planetarium training provided by ROE #30?
*
Yes
No
Will you need someone from ROE #30 to be present to set up and take down the traveling planetarium and/or train people in your facility to do so? (Note: There is a fee associated with this service.)
*
Yes
No
Date you would like to check out the planetarium:
*
MM
/
DD
/
YYYY
Date you would like to return the planetarium: (Note: Limit of one week at a time unless you provide specific reasoning for needing to keep the planetarium longer)
*
MM
/
DD
/
YYYY
Explanation of reason for needing the planetarium more than one week (if applicable)
Your answer
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