Group Registration Form Group Application School/Organization/Group Name*Contact Name:* First Last Affliation with Group*Address* Street Address City State / Province / Region ZIP / Postal Code Contact Phone*Alternate PhoneContact Email Newsletter Yes, I would like to receive LBCM's Newsletter. No, I would NOT like to receive LBCM's Newsletter. Number of Children in Group*Number of Adults in Group*Must be at least 1 adult for every 5 childrenPreferred Date of Trip* Alternate Date In case preferred date is not availableArrive Time* : HH MM AM PM Depart Time* : HH MM AM PM Lunch Space Yes, I would like to request time and space for lunch, if available. Lunch Time : HH MM AM PM Carrousel Yes, I would like to discuss the possibility of adding a visit to the Carrousel, and I understand that this would be an additional fee. Carrousel Time : HH MM AM PM *I understand that the $50 deposit is non-refundable, but can be applied for future trips. I agree *I understand that we must have at least 20 paid admissions to qualify for the discounted group rate of $6 per person. I also understand that we receive one free admission for every five paid admissions. I agree *I understand that to qualify for the discounted group rate we must pay for the group trip in one, single transaction. I agree *I understand that children must be supervised at all times and adults must be present. I must arrive with at least 1 adult for every 5 children, and not doing so may result in forfeiting our field trip reservation and being unable to enter the museum. I agree *I understand that I will be charged for replacement of any items damaged by members of my group. I understand that if guests do not treat LBCM exhibits or staff with respect, they will be asked to leave. I agree *I understand that the museum staff will greet our group and go over the rules, and then we are free to explore and play in the museum on our own. A field trip lasts 2 hours and arrangements must be made with museum staff if space for lunch is requested. All field trips over two hours may be charged an additional fee. I agree *I understand that our group must abide by LBCM's Rules of Play, and I can receive a copy of this policy from the front desk. I agree *I understand that LBCM believes in the safety of its patrons and staff at all times, and I agree to the LBCM Inclement Weather Policy which states - LBCM will be closed if a level 2 or 3 snow emergency is issued. - LBCM reserves the right to close in anticipation of severe weather. - If there is a closing due to weather, there will be social media posts on Facebook announcing the museum's closing. - If you have scheduled a special event, birthday party, or field trip that has been cancelled due to weather or other unforeseeable events, it will be rescheduled at a convenient date of your choice as the calendar will allow or you receive a full refund. - In the event of a cancellation, LBCM staff will contact you as soon as possible with the phone number on your event contract. - All other cancellations due to weather or unforeseeable events will be decided by the Executive Director. I agree Agreement**PLAY AT YOUR OWN RISK* I have read and agree to the group conditions above and attest that all the information provided is accurate and truthful. I agree PaymentI agree to pay the $50 deposit. NOTE: Your application will not be processed until your payment is verified and received.I would like to make my payment using a*credit cardPODeposit*DepositTotal $0.00 PO Number*NameThis field is for validation purposes and should be left unchanged.