School Group Field Trip Request Form
(This form is for school groups only - not to be used by other groups)
All other groups please call the Planetarium or Museum directly to arrange your group visit.

Museum of Coastal Carolina and Ingram Planetarium

** Completing this form does not guarantee your request, you will receive a phone call or email from a
staff member to discuss cost and confirm your reservation**

Please Choose two dates, the first one being your preferred date.  We have trips available
Tuesday through Thursday; we have some Friday mornings available for small groups.

1st Date Request 2nd Date Request

Contact Name  

Group/School Name 

Phone Number:

E-mail address:

Grade level :

Number of students:

Arrival time:

Gift Shop:

Once your request is confirmed a deposit is required, would you prefer?:

Date of request:

Additional notes, or any special needs: