Request a Program at Your Site
Please submit this form to request a Science Show or Festival to be held at your site. Our Registration Office staff will email you to complete your reservation.
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Your Full Name *
Your Phone Number *
Your Email *
Re-enter Your Email to Confirm *
School or Group Name *
School or Group Address of Your site *
City *
State *
Postal (Zip) Code *
School or Group Phone Number *
School or Group Fax Number
Contact Person at School *
How many students total are attending? *
How many students are in each class? *
What grade(s) are the students in and how many students are there per grade level? *
What type of program would you like to reserve? *
What program(s) are your first choice? *
What program(s) are your second choice? *
Days of the week you prefer *
Required
Preferred Dates (Please provide several options in order of preference.) *
Are you interested in a program during *
Please let us know your available times for programming, and provide your school's lunch and recess schedule. *
What are your preferred times and grades for each session? Please note that our educators require a break between sessions for a minimum of 15 minutes but no more than 90 minutes. *
Please let us know the location of the program at your site (i.e. Gymnasium, Science Room, Multi-Purpose Room). *
Do you plan to pay by Check, PO or Credit Card? *
Is your school designated as Title I (40% or more of students meet the federal requirement to receive free or reduced-price lunch)? *
Additional information about your students that would help us serve them better? (e.g. 30% are ELL, some have visual impairments)
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