UCM Mobile Museum Request Form
Thank you for your interest in the Utica Children's Museum's Mobile Museum! Each Mobile Museum experience is customized to suit your needs and allow for a safe and fun experience for all.  Please complete the form below with details about your event and a member of our team will be in contact with you shortly!

THANK YOU and we look forward to bringing the FUN to YOU!


Please note that completion of the form is not a guarantee of booking date or time.  
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Name *
Phone Number *
Email address *
Date of event (if known):
MM
/
DD
/
YYYY
Start time:
Time
:
End time:
Time
:
Is this event *
Event details. (please provide as many details as possible)
Location of where will the event be held? (Address, school name, park, business, etc.) *
Estimated number of children *
Grade level or age of children 
What are the goals of having the Mobile Museum at your event?
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