Overnight Reply Form STOP! Please Read!* I have confirmed a reservation with the Overnight Coordinator before filling out this form.You MUST confirm your reservation date before submitting your deposit.Group Name*Reservation Date* Date Format: MM slash DD slash YYYY Group Leader/Contact* First Last Email* Phone*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Number of Participants*Age Range of Youth Participants*Final Count Requirements* I have read and agree to the following requirmentsThe final group headcount is due no later than 45 days prior to your overnight stay and MUST be in writing. The number that the Museum has on record at the 45-day mark is the number your group will be charged for, even if you bring less. By signing this document you agree to the financial responsibility for the number of participants that the Museum has in writing 45 days prior to your overnight. If you do not update your count in writing by the 45-day mark, you are responsible for the participant count listed on this Contract. Should you cancel within 45 days of your Overnight, you are still financially responsible for the count on file at the 45-day mark. Should you pass off responsibility for the event to a new point of contact for your group, until the new contact has signed this and returned it to the Museum, you are still financially responsible for the Overnight at the 45-day mark. Please sign below to indicate that your group has read and understands the regulations therein. Your signature also indicates that your group agrees to be in compliance with said regulations. Your group will be held legally and financially responsible for any damage that occurs during your Overnight Program by any members of your group.Electronic Signature*Date* Date Format: MM slash DD slash YYYY Deposit Payment Method*Credit Card OnlinePay by PhonePay by CheckTotal $0.00 Credit Card Card Details Name on CardCommentsThis field is for validation purposes and should be left unchanged. Submit This iframe contains the logic required to handle Ajax powered Gravity Forms.