Brain Food Truck Reservation Request
Thank you for your interest in using the Brain Food Truck to bring hands-on, minds-on STEM activities to youth in the Northshore Region.

We will respond to your request to confirm availability and the details of your reservation within 24 hours during business hours (not including weekends and holidays). You can contact us directly at northshorestem@gmail.com

Consumable supplies for the Brain Food Truck are restocked by a contribution from the user per child per activity. Activity costs are listed in the Brain Food Truck Menu (found on brainfoodtruck.org).

The model of the Brain Food Truck is a mobile STEM resource providing activities for organizations to use with their staff and volunteers. Activities are facilitated by the user's staff / volunteers (Northshore STEM does NOT provide volunteers / staff to facilitate activities). The trailer is towed by the USER to the desired location and returned to Northshore STEM's location after use.

By filling out the form below, you will be added to our mailing list to receive more information about opportunities to reserve and use the Brain Food Truck (Northshore STEM's mobile STEM lab) for events involving your organization.
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Phone Number *
Organization Name *
Preferred Pick-Up Date (Monday-Thursday) *
MM
/
DD
/
YYYY
Preferred Pick-Up Time (8:00a-5:00p) *
Time
:
Preferred Return Date (Monday-Thursday) *
MM
/
DD
/
YYYY
Preferred Return Time (8:00a-5:00p) *
Time
:
Location of use (please provide street address including city and zip code): *
Type of Program *
Number of participating youth overall (estimated): *
Grade levels of participating youth *
Additional information you would like for us to know with your request: *
BRAIN FOOD TRUCK MENU

Please browse the Brain Food Truck Activity Menu here: https://www.livebinders.com/b/2809814

BRAIN FOOD TRUCK USER GUIDE

Please browse the Brain Food Truck User Guide here: https://www.livebinders.com/b/2813533

ACTIVITY REQUEST

If you know which activities you would like to request, please check to select below and let us know how many youth you plan to serve with each. If your reservation is approved, Northshore STEM will confirm your activity selection during the reservation process.

DUE TO CURRENT SUPPLY CHAIN DELAYS, WE ASK THAT ACTIVITY & QUANTITY SELECTIONS BE FINALIZED AT LEAST TWO WEEKS BEFORE YOUR PICK-UP DATE.

NOTE: Requesting an activity does NOT guarantee its use. Activity availability depends on the quantity of supplies Northshore STEM has in stock for that activity, number of youth requested to serve, ability to reorder/resupply stock in time if needed, etc.
Number of youth you plan to serve with each activity requested below: 
(Ex.: Anemometer - 30, Build a Band - 25, etc.)
*
If your reservation is approved, which activities would you like to request for your program? *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Southeastern Louisiana University. Report Abuse