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Planetarium Show Request
Use this form to request a planetarium show for your group at the Kutztown University Planetarium.
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* Indicates required question
Your Name
*
Your answer
Your Email Address
*
Your answer
Your Phone Number
Your answer
Your Group's Name
*
Your answer
Type of Group
*
Choose
Kutztown University Student Group
Other Kutztown University Group
K-12 School Group
Other Community Group
Number of Visitors
*
Choose
15 to 30
30 to 50
50 to 85
More than 85
Describe the grade level(s) of the visitors (check all that apply):
*
under 3rd grade
3rd grade - 5th grade
6th grade - 8th grade
9th grade - 10th grade
11th grade - 12th grade
over 12th grade
Required
What is your preferred time of day for your visit? (Please check all that apply.)
*
Tuesday morning
Thursday morning
Thursday evening
Friday morning
Required
If you have specific date(s) in mind, please list them here:
Your answer
Educational goals – What is the purpose of your visit? – What do you want your group to learn?
Your answer
Additional Comments:
Your answer
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