Mad Science Special Event Booking Form
Please fill out the entire form to the best of your ability. Once we receive your form, you will receive a confirmation back from us.

Please note that by filling out this form, you are BOOKING an event. There is a $35.00 cancellation fee if you cancel your event within two weeks of event date, and a $75 cancellation fee for cancelling within 48 hours of event date.

If you do NOT receive an email from us within 2 business days, please email us at MadScienceRocks@gmail.com. Thanks!
Email address *
'Day of Event' Contact Name: *
Your answer
School/Organization Name: *
Your answer
Billing Address: *
Your answer
Event Location Address: *
Your answer
Event Location ZIPCODE *
Your answer
Location Directions (Best Place to Park/Unload/etc) *
Your answer
Will the Event be Indoors or Outdoors? (Outdoors can be done October-April ONLY $25 addl' fee for outdoors. Restrictions Apply. Please contact us before booking an outdoor event.) *
Best “Day-of” Phone Number: *
Your answer
Customer Email: *
Your answer
Date Requested ($25 Last Minute Booking Fee will apply for bookings made within 1 week of event date) *
MM
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DD
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START Time(s) Requested: (Please put the time you'd like us to START the show/event) *
Time
:
END Time Requested: (Please put the time you'd like us to END the show/event) *
Time
:
Second Choice Date: *
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DD
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Second Choice Time: *
Time
:
Grade of Attendees (Choose all that apply): *
Required
Approximate Estimated Number of Attendees *
Service Requested: *
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