Group Reservation Form

*Email address (This is required in order to confirm your online reservation):

Group leader:

Group or school name:

Group Type: Select from Dropdown List public school private school parochial school charter school recreational scout seniors church other

Mailing Address:

City:

State:

Zip Code:

County:

Daytime Telephone:

Fax:

Best time to call:
Select from Dropdown List early morning late morning early afternoon late afternoon

Alternate Evening Phone:

Dates you wish to visit The Franklin Institute
You must choose THREE DIFFERENT DATES:
1st choice:

2nd choice:

3rd choice:

*Expected time of arrival:

*Expected time of departure:

Number of visitors: (Group size is a minimum of 15 people, not including chaperones)

Number of chaperones:

Grade level of students: (if applicable)
Kindergarten First grade Second grade Third grade Fourth grade Fifth grade Sixth grade Seventh grade Eighth grade Ninth grade Tenth grade Eleventh grade Twelfth grade other

Choose ONE of the following two lunch options:

Does the group need space for brown bag lunch?
Select: yes no

Does the group need to purchase lunch from Ben's Bistro? (See Group Lunch Information)
Select: yes no

Does the group have special needs?
Select: yes no

Insert discount code (located on direct mail piece).

Student Group Package to be purchased (chaperone prices for weekdays only):
Select one of the following packages: Museum Exhibits Only | $7.75 visitors, $0 chaperones Museum Exhibits Plus Planetarium | $9.25 visitors, $3 chaperones Museum Exhibits Plus IMAX | $10.25 visitors, $3 chaperones Museum Exhibits Plus 1 IMAX + 1 Planetarium Show | $11.25 visitors, $3 chaperones

Adult Group Package to be purchased:
Select one of the following packages: Museum Exhibits Only | $7.75 visitors Museum Exhibits Plus Planetarium | $9.25 visitors Museum Exhibits Plus IMAX | $10.25 visitors Museum Exhibits Plus 1 IMAX + 1 Planetarium Show | $11.25 visitors

Preferred Tuttleman IMAX® Theater Film: (Check film dates and times to make sure the film is showing during your visit!)
Maximum capacity: 340
No IMAX Film Mummies: Secrets of the Pharaohs Mysteries of Egypt Hurricane on the Bayou

Preferred Fels Planetarium Show: (Check the schedule to make sure the program is showing during your visit!)
Maximum capacity: 190
No Fels Planetarium Show Stars of the Pharaohs Sky Tonight Search for Life