Whitaker Center
Serving our Community through
Education + Entertainment + Art

Request Form

Surgery LIVE! Visit Request Form

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NOTE:  You must have paid for your Surgery Live! program for this RSVP form to be valid.  If you have not already paid, please visit whitakercenter.org/surgery-live to pay for your registration before completing this form. Surgery Live! is available on a first-come, first-served basis.

Visit Details

Arrival / Departure details:


Planning notes:

  • 3rd Street entrance is the only door open prior to 9:30am.
  • You must have a ratio of 1 adult (or more) per 10 students.  
  • If the Lead planning teacher will not be onsite, please indicate who the Lead Onsite Teacher will be in the "Notes" section.
  • Please let us know in advance if you have chaperones arriving separately from your busses or vans; for security reasons, unexpected additional adults will not be allowed to join your group.


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