Discovery Room Request Form
Please complete this short request form if you would like the Discovery Room Mobile Education Trailer to attend your event. A mininum of 2 weeks notice is required. We will make all attempts to attend as many events as possible. NOMA is an all volunteer organization so we are limited by the volunteers available at the time of your request. Thank you for your interest! We will get back with you soon!
Email address *
Name of person completing this form:
Your answer
Point of Contact Name: (the person we will work with on event details and day of the event)
Your answer
Point of Contact phone number
Your answer
Name of Organization requesting the trailer:
Your answer
Event title and/or Brief Description of Event
Your answer
Date of event
MM
/
DD
/
YYYY
START Time of Event
Time
:
END time of Event
Time
:
How far in advance can we bring the Discovery Room prior to the event start time? (periodically our volunteer drivers need to bring it prior to the beginning of the event due to their schedule)
Your answer
Anticipated Audience - WHO will be coming to the event (parents, teachers, the general public, etc)? *NOTE* the Discovery Room is for Adults only. This is not intended for people under 21.
Your answer
How many people are you expecting at this event? (approximate number is fine)
Your answer
Please include any other information that will provide us with details about your event.
Your answer
Thank you for completing the Discovery Room Request form. We will get back with you soon.
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