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2. Please complete the following information.

4. Contact First & Last Name*
5. Organization Name*
7. Address*
8. Address Line 2
10. City*
11. State*
12. Zip*
14. Phone Number*
15. Email Address*
17. Type of Group*
    -- Select One --K-12 SchoolHomeschoolPreschool/DaycareUniversityScoutsMotor CoachAdult/SeniorBusiness GroupOther
18. Number of Adults in Group*
19. Number of Youth in Group*
21. Is your group tax exempt?*

    1. Yes
    2. No
22. How will you submit your tax exempt certificate?*

    1. Upload now
    2. Email later
    3. Bring it on the visit
23. Please upload your tax exempt certificate
25. Are you interested in an Education Program?*

    1. Yes
    2. No
    3. Maybe/Tell Me More
27. Admission & Hours

    View information about our group pricing and facility hours. 

29. First Choice Date*
    First Choice Date
30. First Choice Estimated Arrival & Departure Times*
    First Choice Estimated Arrival & Departure Times Start Time

    —

    First Choice Estimated Arrival & Departure Times End Time
32. Second Choice Date*
    Second Choice Date
33. Second Choice Estimated Arrival & Departure Times*
    Second Choice Estimated Arrival & Departure Times Start Time

    —

    Second Choice Estimated Arrival & Departure Times End Time
35. Third Choice Date*
    Third Choice Date
36. Third Choice Estimated Arrival & Departure Times*
    Third Choice Estimated Arrival & Departure Times Start Time

    —

    Third Choice Estimated Arrival & Departure Times End Time
38. Has your group visited the Flint Hills Discovery Center before?

    1. Yes
    2. No
39. Will your group be shopping in the gift store?*

    1. Yes
    2. No
41. Do you have any special requirements?
43. How would you like to receive your confirmation packet?*

    1. Email
    2. USPS (Mail)
44. Picture permission

    We like to take a picture of each group, if possible, for potential marketing, especially on social media. Before you arrive, please check to see if anyone in your group does not have permission to be photographed for marketing purposes. Thank you.

Leave This Blank:


46. 1. Receive an email copy of this form.
47. Email address

    This field is not part of the form submission.

48. Submit

* indicates a required field