Grand Rapids Public Museum

Event Form

(One form per troop please)

Leader’s Name: _______________________________________________________________ Troop # ______________

Address: ______________________________________City_____________________________________Zip_________

Day Phone: (____)_________________ Email: ___________________________________________

Troop Level: ____Brownie ____Junior ____Cadette ____Senior

Indicate number of scouts attending program:

___11/17/2007 Saturday 9:30 to 11:30 – Music at the Museum – Brownie & Junior ($7 per scout)

___12/1/2007 Saturday 9:30 to 11:30 – Manners Then & Now – Brownie ($7 per scout)

___1/12/2008 Saturday 9:30 to 11:30 – Local Lore – Junior ($7 per scout)

___2/9/2008 & 3/8/2008 Saturday 9:30 to 12:00 – Space Exploration – Cadette & Senior (2 part program) ($12 per scout)

FULL 2/15/2008 Friday 6:00 p.m. to Saturday 8:00 a.m. – Girl Scout Overnight – all levels ($27 per person)
Due to popularity, this event has sold out

___2/23/2008 Saturday 11:00 to 2:00 – Build a Better Future - Cadette & Senior ($7 per scout)

___3/1/2008 Saturday 9:30 to 12:00 – Sky Search – Junior ($7 per scout)

___3/15/2008 Saturday 11:00 to 2:00 – Textile Arts – Cadette & Senior ($7 per scout)

___3/29/2008 Saturday 9:30 to 11:30 – Manners Then & Now – Brownie ($7 per scout)

___4/19/2008 Saturday 9:30 to 11:30 – Space Explorers – Brownie ($7 per scout)

___4/19/2008 Saturday 9:30 to 11:30 – Celebrating People – Junior ($7 per scout)

_____Total number of Scouts @ $______each = $________

_____# of Troop Leaders (no charge)

_____# of adults (one additional adult for every five scouts is admitted free)

_____# of extra adults (over the above formula) $8.00 each = $________

Processing fee for mail, phone & internet orders add $1.50 $________

Total amount due: $________

Method of Payment

Check number: ________ Checks payable to Public Museum Grand Rapids

Credit Card: __ Visa __ MasterCard ___ Discover ___ American Express

Account #: ______________________________________________ Exp. Date _______

Signature _______________________________________________

How did you hear about our Scout event?

___ Girl Scout Resource Book ___ Mailing ___ Museum Discoveries ___ Internet ___Other

Registration: Program size is limited. Registrations are closed ten days prior to date of program. Registrations may be made by mailing in the Event Form, phoning in the information (credit card required), or paid for at the Museum’s admissions desk (must have a completed form). Full payment must accompany each reservation. For phone registrations call (616)456-3977.

Parking: available in the Museum parking structure for a fee.

Cancellation Policy: For a full refund, cancellations must be made 10 days prior to date of program. 50% refund for cancellations 3 to 9 days prior to date of program. No refunds for cancellations 2 days or closer to date of program.

Mail registration form and payment to: Public Museum Attn. Public Program Office 272 Pearl St. NW Grand Rapids, MI 49504. For questions please call the Public Museum Public Program Office at (616) 456-3537.

For the most up to date information please visit www.grmuseum.org