MPSC - Mobile Planetarium Visit Request Form
Please fill out the form below to request a reservation for a visit by our Mobile Planetarium program! Please answer all questions as completely as possible.
Please make sure you have an indoor venue that can accommodate the size and power needs of the mobile planetarium. See site requirements on our website at the link below (opens in new tab).
First and Last, please.
Primary: Secondary: Best time to call:
### Street Name
City, NC Zip
School Day Length:
ex. 9AM - 5PM
Please list any times during the school day that students would NOT be available to attend a planetarium presentation:
This info will help us plan times for when your classes will view shows.
Please list any and all weekdays that your school would be unavailable to receive a visit from the Mobile Planetarium:
i.e. Holidays, Teacher Workdays, Testing, Half-days, etc.
What venue are you planning to use to set up the Mobile Planetarium?
i.e. Gym, Multipurpose Room, etc. Elaborate if needed. Please recall the venue must meet the site specifications required and be available for the duration of the visit (link below - opens to new tab).
Billing Contact Information:
Your invoice will also be sent to this contact.
Name: Email: Phone:
Would you like to apply for a scholarship for your visit?
Morehead offers multiple opportunities for scholarships to cover some or all of the cost of our Outreach programs. Different scholarships have different eligibility requirements, such as free/reduced lunch percentage, title 1 funding, or which county the school is in. Please learn more about our scholarships here: (link opens in new tab)
What percentage of your school's enrollment has free and reduced lunch?
Schools with 76% reduced lunch or more are eligible for our Jupiter Ball scholarship as funds permit. Schools must be listed on NC DPI website or documentation must be provided by school's Principal.
Show Choice and Class/Student Info
Please provide the information below regarding the numbers of classes and show preferences for your school.
The available shows are listed below, and are also listed online at the link provided (opens in new tab).
Astronaut - Recommended for Grades 4-12
Black Holes: Journey into the Unknown - Recommended for Grades 6-12
Earth, Moon and Sun - Recommended for Grades 2-5
Grossology and You - Recommended for Grades 3-7
Magic Tree House: Space Mission - Recommended for Grades K-3
Solar System Odyssey - Recommended for Grades 3-8
Take Flight - Recommended for Grades 2 - 8
Dynamic Earth - Recommended for Grades 5 - 12
Moving All Around - Recommended for Grades Grades K-2
Surveying the Solar System - Recommended for Grades 4-6
Customized Live Presentation - Recommended for older audiences
How many classes do you want to schedule to see Mobile Planetarium shows.
Please note that the capacity of the mobile planetarium is 30 for students K-3, 24 for students 4-7, and 20 for students 8-12. Recall that the single-day visit fee only covers 4 shows booked to 60 minute blocks.
For each class or group you wish to schedule, please provide the following information:
CLASS 1,2,3 etc.
This text box expands quite a bit, feel free to copy and paste the above template as needed to list all of your classes.
CLASS 1 Teacher: Show Requested: Grade Level(s): # Students: CLASS 2 Teacher: Show Requested: Grade Level(s): # Students: CLASS 3 Teacher: Show Requested: Grade Level(s): # Students: ....
Please list any special accomodations your students may require during your visit:
Include things like wheelchair access, hearing impaired, etc.
Please use the space below to share any additional information you would like to assist Morehead in planning your school's visit.
Review the fees and requirements for a Mobile Planetarium visit, as indicated below
Review the pricing structure AND site requirements for the Mobile Planetarium below or online at the link provided, in the section labelled "Fees and Requirements". Link opens in new tab.
$425 - 1st day. (4 shows)
$150/day - each additional, consecutive day.
$200/day for schools more than 90 miles from Chapel Hill, NC.
$50/day for schools within 90 miles from Chapel Hill, NC.
I have reviewed and understand the pricing structure and venue/site requirements for the Mobile Planetarium program.
Please review your contact information entered above and verify that it is correct.
I have reviewed my contact information and verified that it is correct.
Send me a copy of my responses
Your submission is being processed. Please do not close this browser window until complete.