Registration Form - University of Nebraska State Museum

Confirmation Taken by
Date
CONTACT INFORMATION
Parent Name(s) ___________________________________________________________________
Address___________________________________
City__________ State______ Zip__________
Phone Number _____________________________
Are you a member of the museum? ________
Special accommodations? __________________________________________________________
Where did you hear about our parties? _________________________________________________
PARTY INFORMATION
Name of Birthday Child________________________ Turning Age _________ Gender __________
Party Date__________________________________ Party Time ___________________________
Number of Children Attending __________________ Number of Adults Attending ______________
(maximum of 12)
(maximum of 8)
PARTY THEMES
! Archie’s Fossil Adventure
(Ages 4-10)
! Bizarre Beasts
(Ages 6-10)
! Treasure Hunt
(Ages 6-10)
Solar System Planetarium:
Choose one below
Deep Sea Planetarium:
Choose one below
! One World, One Sky
(Ages 4-7)
! Rusty Rocket
(Ages 4-7)
! Earth, Moon, and Sun
(Ages 7- 10)
! Enchanted Reef
(Ages 4-7)
! Sea Monsters
(Ages 7-10)
PARTY CHOICES
Please check which you prefer.
! Parents provide cake and drink - $140.
! Museum provides cake and drink - $175.
Cake Design (choices on website): __________________ Cake flavor: Chocolate, Vanilla or Marble
Parties must be booked 2 weeks in advance. We do not schedule birthday parties on home football game days,
Sunday with a Scientist or on special museum events. Planetarium birthday parties are only available on
Saturdays. This form and a $25 deposit are required within 3 business days to hold your date and time.
Call (402) 472-2637 for available party times. Checks can be made payable to: Nebraska State Museum.
Please return to:
Birthday Parties
307 Morrill Hall
University of Nebraska–Lincoln
Lincoln, NE 68588-0338
Phone (402) 472-2637
www.museum.unl.edu/birthdays
Office Use Only:
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Holding Date
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Paid Deposit
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Sent Confirmation
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Youth Activity Form
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Planetarium Request
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Ordered Cake
$
Balance Due