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Michigan Science Center - 5th Grade

Location: Michigan Science Center

Date: May 14, 2025

Cost: $25 - Non-Refundable

Student Last Name*

Answer required for "Student Last Name"

Student First Name*

Answer required for "Student First Name"

Parent/Guardian First Name*

Answer required for "Parent/Guardian First Name"

Parent/Guardian Last Name*

Answer required for "Parent/Guardian Last Name"

Parent/Guardian Email Address*

Answer required for "Parent/Guardian Email Address"

Parent/Guardian Phone Number*

Number Required

Answer required for " "

I am the Parent or Legal Guardian of the student named and give permission to participate in this field trip.

Quantity

Non-Refundable Field Trip Fee*

Price: $25.00

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"