ORGANIZATION INFORMATIONSchool / Organization Name* Name of facility where program will take place* Address* Street Address City State / Province / Region ZIP / Postal Code Contact Name* Phone* Email Address* DAY OF EVENT CONTACT INFORMATIONOnsite Coordinator* Cell Phone Number* Cell phone is in case we need to reach you while enrouteEmail Address* PROGRAM INFORMATIONApproximate Number of Participants* Up to 50Grade Level / Age of Students* Please select the NATURESCAPE program you are interested in* Winter Spring Summer Fall Please select the # of projects you are interested in* $200 per Naturescape Theme + Travel Charge may apply We supply Facilitator All supplies You supply Onsite coordinator Large multipurpose area 1 large table per activity / project 1 volunteer per activity / project There must be one volunteer at each activity; the number of activities is dependent upon the number of volunteers during the program.SCHEDULEPreferred Date* Preferred Time* PAYMENT INFORMATIONPayment will be made by* Credit Card Purchase Order How did you hear about us?-- Select One --At MuseumImagine eNewsNewsletterProgram GuideSchoolIMAGINE CHILDREN'S MUSEUM MUSEUM-ON-THE-GO CONTRACTTo ensure a successful visit, please review and check each item below. Your online submission of this form constitutes your agreement to each of the following terms. If you have any questions, please email reservations@imaginecm.org, or call 425/258-1006, Ext. 1012 on weekdays from 9:00 a.m. - 5:00 p.m.* A 50% non-refundable deposit is required at scheduling; remaining balance is due day of services. You will provide an onsite coordinator to assist in the set-up. Each activity/project will require the assistance of one volunteer. If required number of volunteers is not met, the number of activities/projects will decrease. You are still responsible for the balance due. A large table will be provided for each activity/project. Supplies will be available for the allotted amount of participants and the program will occur while supplies last. If the number of participants changes you must let the Museum know two weeks prior to event date. Comments (special needs, etc.)Captcha