ScienceWorks Hands-On Museum

ScienceWorks Museum Visit Registration Form

* Type in the date you would like for the program.  
* Enter the time of day that works best for you. 
* Grade(s) 
* Teacher Name 
* How many classrooms will you be registering for? 
* Number of students per class 
* Phone Number 
* School 
* Email 
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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