ScienceWorks Hands-On Museum

Family Science Night Registration Form

* Contact Name 
* School or Organization 
* Type in the date you would like for the program.  
* Phone Number 
* Email 
* Enter the specific time of day that works best for you. (Example: 6:15pm - 8:15pm) 
Let us know if you have any special requests or concerns about your program. 
If you have questions regarding the site, please contact the webmaster.
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