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You are here: Home » Science Museum Trip

Science Museum Trip

Long Island Science Museum Trips

Parent Name(Required)

First Last

Parent Email(Required)

Parent Phone(Required)

How many students are you registering for trips?(Required)

Student 1 Name(Required)

Student 1 Trip:(Required)

1st Grade - $20

2nd Grade - $20

3rd Grade - $25

4th Grade - $25

5th Grade - $25

8th Grade - $25

Student 2 Name(Required)

Student 2 Trip:(Required)

1st Grade - $20

2nd Grade - $20

3rd Grade - $25

4th Grade - $25

5th Grade - $25

8th Grade - $25

Student 3 Name(Required)

Student 3 Trip:(Required)

1st Grade - $20

2nd Grade - $20

3rd Grade - $25

4th Grade - $25

5th Grade - $25

8th Grade - $25

Student 4 Name(Required)

Student 4 Trip:(Required)

1st Grade - $20

2nd Grade - $20

3rd Grade - $25

4th Grade - $25

5th Grade - $25

8th Grade - $25

Billing Address(Required)

Street Address Address Line 2 City State ZIP Code

Credit Card(Required)

American Express

Discover

MasterCard

Visa

Supported Credit Cards: American Express, Discover, MasterCard, Visa

Card Number

Expiration Date Month Year

Security Code Cardholder Name

Total

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