Contact InformationGroup / Organization NameGroup Leader's Name First Last Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Home Phone*Work PhoneCell Phone*Email* Date SelectionFirst Choice Date*November 9, 2019October 19, 2019February 8, 2020March 21, 2020April 4, 2020April 18, 2020Second Choice DateNovember 9, 2019October 19, 2019February 8, 2020March 21, 2020April 4, 2020April 18, 2020About Your GroupNumber of Adults*Please enter a value between 1 and 500.Number of Youth*Please enter a value between 1 and 500.Additional NotesIf you would like to provide additional information with your registration, please include it here.Payment Information A 25% non-refundable deposit is required to hold your reservation. The balance should be turned in no later than a month prior to your scheduled overnight.Requests received less than a month before an overnight event must be paid in full at time of submission. Make checks payable to "Connecticut Science Center" and mail to: Connecticut Science Center ATTN: Overnight Department 250 Columbus Boulevard Hartford, CT 06103 For additional information, or to pay your deposit by credit card, please call us at 860-520-2117 or email overnights@ctsciencecenter.org. Office Hours: Monday through Friday from 9am to 4pm.
