Scout Program Request

Please fill in a valid value for all required fields

Please ensure all values are in a proper format.

Are you sure you want to leave this form and resume later?

Are you sure you want to leave this form and resume later? If so, please enter a password below to securely save your form.

You must upload one of the following file types for the selected field:

There was an error displaying the form. Please copy and paste the embed code again.

There was an error initializing the payment processor on this form. Please contact the form owner to correct this issue.

Scout Program Request Form

Thank you for your interest in our Scout Programs! We are looking forward to welcoming your group to the Michigan Science Center. If you are requesting programs for multiple groups/dates, please fill out a separate request form for each program to be scheduled separately.

If you have any questions regarding our Scout workshops, please contact Lindsey Sigler (Camps and Classes Manager) at lindsey.sigler@mi-sci.org or 313-577-8400 ext. 428.

Contact Name*

First Name

Last Name

Group Name*

Are you the Scout Leader?*

Yes No

Email Address*

Phone Number*

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Number of Scouts*

Scouts only. Do not include siblings or chaperones in this count.

Are you interested in a private overnight event or workshop*

Workshop Overnight

First Date Request - Workshops are on Saturdays and Sundays*

Please allow for a minimum of 3 weeks notice

Second Date Request*

Please allow for a minimum of 3 weeks notice

Third Date Request*

Please allow for a minimum of 3 weeks notice

Time of Workshop*

Morning Afternoon Either morning or afternoon I'm only interested in an overnight experience

General admission is included with the ticketed price of all scout workshops and groups will have access to the science center during open hours on the day of their program.

Please select the workshop(s) you are interested in booking:

We are currently working to expand our workshop offerings. If you are interested in a topic that isn't listed please let us know.

Girl Scout Workshops

Space Science Engineering

Other:

Cub Scouts and Scouts BSA Workshops

Space Science Engineering

Other:

Any other details you think we should know?

How did you hear about us?