Hands-On Registration Form 2017 - 2018 School Year
HANDS-ON PROGRAM TOPICS:

Cadaver Demonstration* (must be a minimum of HS junior)
Pig Heart Dissection
Sheep Brain Dissection
Pig Eye Dissection

There is a 10 student minimum for ALL hands-on programs. Please keep in mind with large groups that you may need to schedule back-to-back time slots, if your number of students exceeds the limit for the lab. The cadaver demonstration lab can accommodate up to 80 students at one time, and the dissection lab can accommodate 65 students at once. Students can eat lunch while waiting for their dissection time or we can help occupy their time with an informational video in the auditorium while waiting for their program.

PROGRAM LENGTH:
1 hour

TIME FRAMES:
9:00 am - 10:00 am
10:30 am - 11:30 am
12:00 pm - 1:00 pm

PROGRAM COST:
One Program - $16 per student for all students participating in cadaver demonstration, pig heart dissection or sheep brain dissection. Pig Eye Dissection is $12. Teachers or chaperones do not need to pay.

Two Programs on same day - $27 total per student ($5 per student discount)

Registration is due at least 30 days prior to the program.


AVAILABLE 2017-2018 PROGRAM DATES:

PLEASE NOTE: These dates are for hands on programs ONLY. If you want to register for a hands on program following an auditorium program, you will register for that under the "auditorium registration" page.

**Subject to change**

August - *call for dates*

September 2017 - 5, 6, 12, 18, 19, 20, 21

October 2017 - 6, 9, 10, 16, 18, 19, 23, 25, 26, 30

November 2017 - 7, 8, 14, 20, 21, 27, 28, 29

December 2017 - 4, 5, 6, 7, 11, 12, 13, 18, 19

January 2018 - 2, 3, 4, 9, 11, 16, 29, 31

February 2018 - 1 5, 6, 7, 13, 14, 20, 22, 26, 27, 28

March 2018 - 5, 8, 12, 13, 14, 15, 19, 21, 22, 27, 28

April 2018 - 9, 11, 12, 16, 18, 19, 23, 24, 25, 26, 30

May 2018 - 2, 3, 7, 8, 9, 10, 14, 15, 16, 21, 22, 23, 29, 30, 31

June/July 2018 - *Please call for dates*


PLEASE NOTE: If requesting multiple program topics on the SAME day (i.e. Cadaver Demonstration and Pig Heart Dissection), please fill out additional information AFTER "special instructions" section on this form. This is so you do not have to send in two separate registrations. $5 discount per student if you sign up for two programs on the same day. Also, types of dissections may vary based on availability, time requests, etc, therefore, can be subject to change. Please put your PREFERRED dates/times and we will contact you should we need to adjust it. If you would like multiple program topics on DIFFERENT days, please submit a registration form for each date. Thank you!

Preferred Date
Ex. 10/23/17
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Preferred Time
Program Topic
School's Name
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School's Street Address
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School's City
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School's State
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School's Zip Code
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Teacher's Name
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Teacher's Email Address
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Teacher's Cell Phone Number
xxx-xxx-xxx
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Estimated Number of Students Attending (10 student minimum)
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Special Instructions/Requests
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Additional Program?
Would you like to schedule an additional program before or after the one you have listed above and the discounted price of $14 per student?
Additional Program Type
Which additional program would you like to schedule for your students?
Additional Program Time
Which time slot would you prefer for the additional program?
Attendance
Have you attended an AIMS program before?
If this is your first visit..
If you answered no above, how did you hear about us?
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