Workshop and Event Request Form
Please do not submit this form to ask a question. Send your questions to info@madsciencekidz.com or call (919) 858-8988.

Be sure to scroll to the bottom of the form when you are done and hit SUBMIT!

Email address
How did you hear about Mad Science?
Contact Name
Your answer
School or Organization Name
Your answer
Location Address
Your answer
It is important that we are able to contact you. Please provide a phone number where you can be reached. Your email address will be used to send you a confirmation letter.
Main Phone
Your answer
Other Phone
Your answer
Date and Time Preferences
K-5 workshops are typically 1 hour, Preschool programs are 40-45 minutes and shows are 1 hour. Stations and other custom events can vary in length.
Your answer
Program name or theme preferences
Not sure? Check out our workshops here: http://triangle.madscience.org/workshops.aspx and event info here: http://triangle.madscience.org/shows.aspx. We can also help you decide!
Your answer
Maximum number of children in attendance
Your answer
Age range of children
Please let us know youngest and oldest ages in attendance.
Your answer
Budget (Custom Events)
Please let us know if you have budgetary concerns so we can come up with the best option for your group.
Your answer
Comments and Additional Information
If you are requesting an assembly, please let us know if your location has a sound system installed or if we will need to provide our own. Also, please let us know if your location uses a standard attention getter (e.g. clap 1,2,3&4 or bunny ears).
Use the box below to give us any other pertinent information.
Your answer
FINALIZING YOUR EVENT
A "reservation" is a tentative booking.
A "confirmation" is a firm booking.
Submission of this form will create a temporary party reservation valid for 3 business days, pending availability.
We will contact you with a price quote.
If your dates and times are flexible, we will contact you to confirm specific available time slots.
If, after 3 business days, we have not received verbal or written acknowledgment of the price total and confirmation of your preferred datesand time your temporary reservation will expire.
Before clicking on the submit button check thoroughly through your information. Complete any empty fields. If you have left out any vital information we will contact you by phone or email and may delay finalizing your program date and time.
If you have any questions please call (919) 858-8988.
IMPORTANT INFORMATION
When hosting a Mad Science Program there are several things you must keep in mind:

Workshops are limited to 25 students per class. 5th grade classrooms with 26-30 students may be accommodated with an adult assistant. Preschool Workshops are limited to 18 students per class and are for ages 4-6.
Your Mad Scientist will arrive approximately 15-20 minutes before a workshop to set up. Your Mad Scientist will arrive approximately 20-30 minutes before a special event to set up.
They will need a banquet size table to set-up their equipment and may need access to electricity and hot water.
An enclosed room free from distractions is preferred in order for the Mad Scientist to provide the best experience possible!
Travel fees apply to locations outside Wake Co., Durham Co., and Chapel Hill.

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