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ScienceWorks
School Calendar

August 2008

Thursday, August 21, 2008
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ScienceWorks Museum School Group Reservation Request
School Programs are available 9/18/2007 – 5/30/2007.
Tuesday through Friday: 9:30am - noon
Tuesday through Thursday: 12:30pm - 3:00pm

Please be sure to include grade level, students and session. Thank you!

SCHOOL INFORMATION

School Name:

Grade(s):

Contact Person:

Address:

City:

County:

(County Name - if not on list)

State:

Zip Code:

School District:

(School District - if not on list)

Phone:

Email Address:

Use the calculator to determine costs:

How many students in group?
How many teachers in group?
How many chaperones in group?
Total number in your group?
$	($5.00 per student)

Payment is due upon arrival.
ScienceWorks can help out with Oregon Public Schools bus transportation costs. Please refer to our Transportation Policy on the School Programs page for details.

First Choice:

Date: (mm/dd/yyyy)

Morning session (9:30 – 12:00)
Afternoon session (12:30 – 3:00)

Second Choice:

Date: (mm/dd/yyyy)

Morning session (9:30 – 12:00)
Afternoon session (12:30 – 3:00)

Program Options:

Science Live! Demonstration:

Discovery Lab:
(if applicable)

Due to the nature of our exhibits, please inform us if students, teachers
or chaperones are prone to seizures, have allergies, need wheelchair access or have other special needs.

K-2 students only, please let us know if you would like a snack break scheduled.

Snack Break:

yes

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