Discovery Sessions & Kits Form

Name
First Last
Email
Phone
School
What are you interested in?
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- Virtual
- Traveling
If traveling, fill out address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Grade Level
Approximate number of students
I'm interested in the following Discovery Sessions:
- Animal Adaptations - Grades 4-8
- Explosion Explorers - Grades 5-8
- Fantastic Forces - Grades 6-8
- Mirror, Mirror - Grades K-8
- Rain-Blow Bubbles - Grades UPK-2
- Spectacular Science - Grades 1-6
- Superhero Science - Grades K-8
- Tails and Tales - Grades 4-8
- Zoom through the Universe - Grades K-5
What days do you prefer?
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- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
What time do you prefer?
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- Early Morning
- Early Afternoon
- Late Afternoon
Do you have a specific date or week in mind? If so, write below.
How would you like us to contact you?
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- Phone
- Email