Public Museum: Grand Rapids, Michigan

2008 BOY SCOUT and CUB SCOUT Registration Form

One form per troop/pack please

 

 

Leader’s Name: ­­­­­­­­­­­­­­­­­­­­­­­_______________________________ Troop/Pack #: ______________

 

Address: _______________________________________________________________

 

City: _________________________________State: ______Zip Code: ______________

 

Day Phone: _________________________Email:_______________________________

 

Program Level: Cub Scout

# of Scouts Program Day Date Hours Cost

_______ Astronomy Monday Jan. 21, 2008 6pm – 8pm $7.00

_______ Music Monday March 3, 2008 6pm – 8pm $7.00

_______ Map & Compass Monday April 21, 2008 5:50pm – 8pm $7.00

_______ Language & Culture Saturday April 26, 2008 9:30am – 11:30am $7.00

 

Program Level: Boy Scout

# of Scouts Program Day Date Hours Cost

_______ Astronomy Part I Saturday Feb. 9, 2008 9:30am – noon $12.00

_______Astronomy Part II Saturday Mar. 8, 2008 9:30am – noon

 

_______ Engineering Saturday Feb. 23, 2008 11am – 2pm          $7.00

_______ Music Monday March 3, 3008 6pm – 8pm                      $7.00

 

_______ # of Scouts…………..……………...…………… @ $ 7.00 each = $ ____________

 

_______ # of Scouts (Boys Astronomy 2 part program) @ $12.00 each = $ ____________

 

_______ # of Registered Leaders…….......................................…………..……no charge

 

_______ # of Free Adults (one per 5 scouts)…….................................…….no charge

 

_______ # of Additional Adults..…………………….........….. @ $8.00 each = $ _____________

 

_______ # of Additional Adults for Maps & Compass… @ 11.00 each = $ _____________

 

Service fee for phone or mail-in registration…………… @ $1.50 per form $ 1.50______

 

Total amount due $ ____________

 

Please note:

Program size is limited to ensure a quality experience. Advance registration is required. Registrations may be made by mail, by phone, or in person at the admissions desk during regular Museum hours. A completed Registration Form is required. Full payment must accompany each registration.

 

Leaders, co-leaders and one additional adult for every five Scouts are free. Additional adults pay $8.00 each. Maps & Compass has an $11.00 fee for additional adults due to a contractual obligation with the temporary exhibition provider. Parking is available in the Public Museum ramp for a fee. Availability of street parking is limited.

 

Cancellation Policy:

For a full refund, cancellations must be made 10 days prior to the event; 50% refund for cancellations within 3 – 9 days prior to the event, no refund for cancellations 2 days or less prior to the event.

 

Submit this form with payment to:

Public Museum

Scout Program

272 Pearl St. NW

Grand Rapids MI 49504

 

For ticketing call (616) 456-3977

For program questions call (616) 456-3537 – Public Museum Public Program Office

 

 

Method of Payment:

 

Check (made out to Public Museum) Check # ________________

 

Credit Card: (please circle one)

 

Visa Master Card American Express Discover

 

Account #: ______________________________________ Expiration Date: ___________

 

Name on Credit Card: _____________________________

 

 

How did you hear about our Scout events? (please circle all that apply)

 

Museum mailing Scout mailing Museum Discoveries Other ____________________