Scholarship Request Form: 2019-2020
We are excited that your child is interested in a program at Eugene Science Center! Please fill out this form to give us more information about your scholarship request.
Parent/Guardian requesting scholarship (First & Last name):
Best phone number to contact you at:
Are you a current member of Eugene Science Center?
Page 1 of 3
Never submit passwords through Google Forms.
This form was created inside of Eugene Science Center, Inc..