Program and Rental Request Form
Thank you for your interest in The Learning Jet! Please fill out this form and we will be in touch to discuss your request.
First Name
Last Name
Email Address
Phone Number
Request Type
Youth Program
Adult Program
Space Rental
Organization/School/Company Name
Total Number of Youth Participants
Total Number of Youth Participants By Grade Grouping (K-5, 6-8, or 9-12)
Total Number of Adult Chaperones
Preferred Date #1
Preferred Time
Morning (9-12)
Afternoon (12-3)
Preferred Date #2
Preferred Time
Morning (9-12)
Afternoon (12-3)
Preferred Date #3
Preferred Time
Morning (9-12)
Afternoon (12-3)
Would you like lunch provided? (extra fee applies)
Yes
No
Who will be the primary contact the day of your program or rental? Please provide full name, email, and phone.
Is there anything else about your request that would be helpful for us to know?
Submit
Powered by