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Traveling Science Program Inquiry Form
Traveling Science Program Inquiry Form
School or Group Name
*
Contact Name
*
First
Last
Contact Phone Number (with Extension if Necessary)
*
Contact E-Mail Address
*
Grade(s) of Students
*
Approximate Number of STUDENTS for this Program
*
Approximate Number of ADULTS for this Program
*
Would you like this Program to be in English or Spanish?
*
English
Spanish
Would you like to request a bilingual educator who can also speak Spanish, if available?
*
Yes
No
What type of program are you interested in?
*
SynDaver (Synthetic Cadaver)
The MEGA Brain
Traveling Classroom Program
Traveling Science Show
Science Celebration
Community Program or Event
Other
Select the classroom program(s) you are interested in.
*
Bots for Tots (PreK-K)
Wee Engineers (PreK-K)
Let's Bee Coders (K-2nd)
The Secret Life of Seeds (K-2nd)
Bubble Bonanza: Engineering Bubble Wands (K-2nd)
Amazing Animals (3rd-5th)
Made in America (3rd-5th)
Music to My Ears: An Acoustical Engineering Challenge (3rd-5th)
Picture an Eclipse (6th-12th)
Apex Innovators (6th-12th)
Kinetic Sculptures (6th-12th)
Select the science show(s) you are interested in.
*
Mixing Matter (K-8th)
Shocking Discoveries (4th-12th)
Use the Force (4th-12th)
Select the science celebration(s) you are interested in.
*
STEAM Fest (K-6th)
Da Vinci Design Lab (6th-12th)
Tell us a little bit about what you are looking for?
You will be shown a confirmation upon successful submission of a completed form and you will receive a confirmation e-mail to your address.
Contact:
outreach@
null
davincisciencecenter.org
or 610.841.1391