Geology Museum - Traveling Summer Program Request Form

Please fill out the following information to request a date for your event.

This program is offered on Monday-Wednesday during June and July. In August, the program is offered Monday-Friday.

All dates are subject to availability and requests must be made a minimum of 2 weeks prior to the proposed date.

The cost is $75 for one program.

Payment in the form of cash or check can be made out to:
Rutgers Geology Museum
Re: Summer Program
85 Somerset St
New Brunswick, NJ 08901

Please contact museum staff at 848-932-7243 or This email address is being protected from spambots. You need JavaScript enabled to view it.with any questions.

Required *

Preferred Date

Preferred Time

Please select the program you would prefer

Name of Event Organizer

Address

City

State

Zip Code

Contact Number

Email Address

Are you interested in adding gift bags for the price of $1 per child?

Yes

Are you interested in adding take-home mineral sets for the price of $10 per child?

Yes

Are you interested in adding mineral patches for the price of $2 per child?

Yes

How will you be paying?

Cash

Check

Other

Please provide a description of the room in which the presentation will take place. Classroom? Auditorium? Conference Room?

Are there any special parking instructions?

Any additional information or special requests?

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