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CRPA Field Trip Request Form

Section 1


Section 2

    Organization Information

  • Personal Information


Section 3 (Group Visit)

    Group Visit Information

  • Please choose three dates that you would like to visit the CT Science Center
  • Times are in 15 minute intervals between 10:00 am and 3:00pm.
    Please note that during weekends and off-peak periods, the earliest available time is typically 10:00am.
  • What would you like to do when you're at the CT Science Center?

  • Please provide us with an approximate number of the people in your group.
    The Connecticut Science Center will reserve space and schedule staff based on the quantities you state. It is your responsibility to contact CRPA at least one week in advance for any additions or reductions to your headcount. All reductions must be made AT LEAST one week in advance, or you will be charged the count you originally submitted.

Section 3 (Good Any Day Tickets)

    Ticket Information

  • You may begin selling Good Any Day tickets at any point during the year. You do not have to sign up for the program by the start date in order to participate. These time periods are for reconciliation purposes. If you join the program in the middle of a reconciliation period, please be aware that your payment and returned tickets are still due back at the CRPA office by the end date of the period.
  • Ticket sales may begin as soon as you receive tickets. All unused tickets must be returned and paid for by the end of the reconciliation period indicated above THIS IS A FIRM DATE. No tickets will be accepted after that date, and no refunds will be issued for any tickets returned after that date. No refunds will be issued for tickets returned without stubs. These tickets should be treated like cash. You are responsible for any tickets purchased until they are returned to the CRPA office. CRPA recommends any mailing be via certified mail, express mail, UPS, or FedEx.
  • Quantity of Tickets

  • Postage


Section 4

  • After you are invoiced, you must call CRPA and provide a Credit Card number.

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