Splash Lab Booking Request
Please complete this form in order to submit your Splash Lab booking request. We will contact you via email within two business days to follow-up on your request. If you are interested in reading more about this program on our website, go to: https://www.sdcoe.net/educators/outdoor-education-outreach/post/~board/outdoor-education/post/splash-science-lab
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Email *
Your Name *
School Name *
School District *
Which Splash Lab format are you interested in? *
Required
Grade of Students Receiving the Splash Lab *
Please indicate for this visit only. If you are requesting more than one visit please submit a second form.
Required
How many sessions will be required for your visit? *
The Splash Lab will provide up to four 1 hour-long sessions per visit. Each session has a maximum of 35 students. (You can think of a session as a class).
First Choice Date of Interest  *
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Second Choice Date of Interest   *
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YYYY
Third Choice Date of Interest  
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DD
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YYYY
Comments or questions you would like addressed in the follow up email.
Others who you would like to be included on the follow up email
Please include their name, position and email. They will be CC'd on follow up email.
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