School Programs Interest Form
School District (if applicable)
Grade(s) that you teach
Which mission/program are you interested in?
Lunar Quest mission (grades 6 and up)
Rendezvous with a Comet mission (grades 5 and up)
Expedition Mars (grades 6 and up)
Earth Odyssey (grades 8 and up)
Jr Astronauts program (grades K-5)
Great Rocket Design Challenge (as an add-on to the Moon, Mars, or Comet mission)
Wind Turbine Design Challenge (as an add-on to the Earth Odyssey mission)
Planetarium Program (done at your school)
How many students will be participating from your class/school?
Have you previously participated in a Challenger Learning Center program?
How did you hear about us?
Previously attended program
Word of mouth
Date Choice #1
Date Choice #2
Date Choice #3
Other/Additional dates needed
11:30 am-1:30 pm
Full-day (available for Moon, Mars, Comet, and Earth mission - grades 5 and up) 4 1/2 hour program (includes 30 minutes for lunch)
Your email address
Your phone number
Best time to reach you by phone
Anything else we should know about your scheduling request?
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