Win a Free Science Mom Visit in October 2019
Teachers and administrators in the Clark County School District are eligible to enter for a full day of science presentations, made possible thanks to the generous support of Science Mom's patrons on Patreon (www.patreon.com/ScienceMom). Public elementary schools only. One entry per person. Multiple people from the same school may enter the drawing.

This month, four schools will be chosen for a visit. One school will be chosen by random. The other three schools will be selected based on answers submitted in this form. Preference will be given to schools who have not yet had a Science Mom visit, and to schools where both a teacher and an administrator or principal submitted a form.

SEPTEMBER 30th IS THE LAST DAY TO ENTER. The drawing will take place on Tuesday, October 1st, at 9:00 a.m. It's done as a facebook live video from the Science Mom Facebook page (@TheScienceMom), so if you'd like to join us then, you're welcome to!

For more information about booking a paid visit (fee of $496), see https://science.mom/speaking or reach out to me directly at jenny@science.mom.
Email address *
Your Name: *
Your answer
Elementary School Name: *
Your answer
Grade Taught / Position:
A two-minute video about my school visits:
Have you watched the two-minute video about my school visits?
Which type of Science Mom visit are you most interested in having?
Why would you like to have a visit from Science Mom?
Your answer
Is there anything you would like me to know about your school?
Your answer
About your email address:
If you submit this form, your email address will be used to contact you and inform you of the results of the drawing. Your email will not be shared and you will not be added to a mailing list or receive additional correspondence after being notified of the results.
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