Name *

First Name

Last Name

Phone *

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

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Select the institution(s) you plan to visit on the specific date(s) *

Adler Planetarium

Art Institute of Chicago (Closed Tues. & Wed.)

Brookfield Zoo

Chicago Academy of Science/ Peggy Notebaert Nature Museum

Chicago Botanic Garden

Chicago Children's Museum

Chicago History Museum

DuSable Museum

The Field Museum

Illinois Holocaust Museum & Education Center

Lincoln Park Zoo

Museum of Contemporary Art

Museum of Science and Industry

National Museum of Mexican Art

National Museum of Puerto Rican Arts & Culture

John G. Shedd Aquarium

Pick the date you would like to attend the museum you chose *

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DD

YYYY