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"Let's Get Started" Challenger Module form
Please fill out the form below to start the module reservation process with the Challenger Learning Center of Maine. Once you fill out this form, we will try to reach you by phone or email.
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* Indicates required question
STEM Program Request
*
LEGO WeDO Robotics (grades 2-5)
Exploration Lab Mission
Blast Off [rockets]
Astronaut Life
Planets
Stories in the Sky
Rovers (grades 5-8)
Required
School/Organization
*
Your answer
Address
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City/State/Zip
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Your answer
Contact Name
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Your answer
Position
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Your answer
Phone Number
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Fax
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Email
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Your answer
Number of students participating (estimate)
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Your answer
Grade(s)
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Your answer
Numbers of teachers/chaperones (estimate)
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Your answer
Date & Time Request 1st Choice
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[Each session runs approx. 2 hrs / WeDo Robotics run 90 mins ]
Your answer
Date & Time Request 2nd Choice
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[Each session runs approx. 2 hrs / WeDo Robotics run 90 mins ]
Your answer
Date & Time Request 3rd Choice
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[Each session runs approx. 2 hrs / WeDo Robotics run 90 mins ]
Your answer
Additional Comments
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