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Chester H. Wilson Geology Museum

Tour Registration Form

Mott Community College - Main Campus - Gorman Science Center
On Gorman Drive off of East Court Street, Flint, MI
 

Please fill out this form and submit online or print and mail to the address below.
Teacher's Name:  
Phone:
Email:  
 
School Name:  
 
School District:  
 
School Address:
No. of Students:  
Grade Levels:
No: of Chaperones:      
Number of Buses:      
(Buses have to park in specific campus lots so arrangements must be made!)
Will bus(es) (check one) Need Parking OR Return to Pick Up
Anticipated Arrival Time  
Departure Time:
An email confirmation notice will be sent to the teacher's email address after receipt of this form.


Questions?

Contact: Sheila Swyrtek, Geology Museum Director
Science and Mathematics Division
Mott Community College
1401 E. Court St.
Flint, MI 48503
(810) 232-9312
Sheila.Swyrtek@mcc.edu