Museum in a Box Submission Form
Thank you for your interest in Museum in a Box with the North American Aerospace Museum! Please take your time to fill out all of the fields as thoroughly as possible. Once submitted, a member of the Education team will follow up with you for more details. Most fields are required.
Contact Full Name
*
Contact Email Address
*
Contact Phone Number
*
School/Organization Name
*
Street Address
*
City, State, ZIP Code
*
Reduced Rate Eligible
*
Yes
No
Don't know / Not sure
Not applicable
Grade Level
*
Pre-Kindergarten (under age 5)
Early Elementary (K-2 or ages 5-8)
Upper Elementary (3-5 or ages 8-11)
Middle School (6-8 or ages 11-14)
High School (9-12 or ages 14-18)
College/University (18 and up)
Don't know / Not sure
Other
Number of Student/Youth Attendees
*
Number of Chaperones
*
Date Requested
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Alternative Dates
*
Arrival Time
*
Hour Minutes
AM
PM
AM/PM Option
Museum in a Box Themes
*
Aviation History
Aviation Science
Space: Astronomy
Space: Engineering
None of the above
Don't know / Not sure
Other
Visit Duration (hours)
*
Number of Sessions
*
1
2
3
4
Don't Know / Not Sure
Other
Special Accommodations
*
Did we miss anything?
Permission to Photograph/Record?
*
Yes
No
Don't Know / Not sure
Submit
Should be Empty: