Classroom Visit Request Form
Name of Requester:
Contact Email Address:
Name of School:
Address of School:
What grades will we be presenting to? Approximately how many students/grade?
Please select a presentation from the list below.
Note: Listed below are the basic topics we cover during classroom visits. These presentations can be adjusted for different age groups or courses. Requests for other topics will be handled on a case-by-case basis.
Plasma, the Fourth State of Matter
Electricity and Magnetism
Date(s) that you would like us to visit:
Time that you would like us to visit:
What will the presentation venue be? Some of our demos are venue dependent. All will require access to an electrical outlet.
Special requests or notes:
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