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Night at the Museum (09/14/2019)
The Night at the Museum is a monthly drop-off program for kids (4- to 12-years-old). Kids will get to spend after hours in the museum playing with museum exhibits and engaging with staff-led activities. A pizza dinner is also provided.
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Name of Child
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Date of Birth
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Parent or Guardian Name
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Contact Email Address
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Contact Phone Number
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Contact Mailing Address
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Emergency Contact Name
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In the event the above parent/guardian cannot be reached at the provided contact number, please provide a second contact that we may call.
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Emergency Contact Number
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Any known allergies
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if none please type "none"
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Do you have any concerns you would like us to know about in advance?
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I agree to allow the Children's Science Museum to obtain medical care for my child in the event of injury.
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I agree to allow the Children's Science Museum to photograph my child.
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Please be sure to review our photo and video disclaimer found on our website for details.
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Do you have an active membership with the Orpheum Children's Science Museum?
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If so, what is your membership number?
This number can be found in the lower right-hand corner of your membership card.
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How did you hear about our program?
Museum Website
Email
School Flyer
Public Flyer
Social Media
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