CONTACT INFORMATIONOrganization Name* Scout Type* Girl Scout Troop Boy Scout Pack Address* Street Address City State / Province / Region ZIP / Postal Code Contact Name* Phone* Email Address* DAY OF VISIT CONTACT INFORMATIONGroup Leader Name* Cell Phone Number* (Cell phone is in case we need to reach you en route)Email Address* PROGRAM INFORMATIONNumber of Scouts* (Minimum of 10 Required)Grade Level / Age of Scouts* Number of Adult Chaperones (including leaders)* (must have a 1:5 ratio and must be 18 or older)Name of Enrichment Class* Number of Patches ($1.00 per patch)* SCHEDULEPreferred Dates* Preferred Arrival Time:* 9:15 9:45 10:15 10:45 11:15 or Later Approximate Departure Time Arrival By:* Bus Individual Cars PAYMENT INFORMATIONPayment will be made by* Credit Card Purchase Order How did you hear about us?*-- Select One --At MuseumImagine eNewsNewsletterProgram GuideSchoolIMAGINE CHILDREN'S MUSEUM VISIT CONTRACTTo ensure a successful visit, please review and check each item below. Your online submission of this form constitutes your agreement to each of the following terms. If you have any questions, please email reservations@imaginecm.org, or call 425/258-1006, Ext. 1012 on weekdays from 9:00 a.m. - 5:00 p.m.* The Museum requires a 50% nonrefundable deposit due upon reservation. *If using a Purchase Order the deposit is not required but if the Field Trip is canceled or a "no show" you will be charged the deposit amount. Credit Card information or Purchase Orders will need to be called in or faxed to the Museum by the date on the confirmation that you will receive. Please note: The Museum no longer accepts personal checks.Comments (special needs, etc.)Captcha