STAERKEL PLANETARIUM: Call Back Request
Contact Name (required)
Contact Telephone (required)
Indicate best time to call
AM
PM
Contact Email (required)
Group or school name
Group or school address
Number of Students Attending
Age Range of Students
Number of Adults Attending
Dates:
First Choice
Time
Second Choice
Time
Third Choice
Time
Show Name (
Visit our School Show Listing for show descriptions & information
).
Single Feature
Double Feature
Please indicate if special arrangements are needed (wheelchairs, hearing assistance devices, etc.)
Special Arrangements
Do you plan to eat lunch in our lobby or on our grounds outside the planetarium?
Yes
No
Questions or comments?
Questions
