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Learning Lab Request Form
Learning Lab Booking Request Form
Request a Learning Lab at your school.
School/Group Contact Information
School/Group Name
*
Phone
*
Fax
Address
*
Street Address
Address Line 2
City
ZIP / Postal Code
Contact Person Information
Contact Person Name
*
First
Last
Contact Person Title
Contact Person Phone
*
Contact Person Email
Enter Email
Confirm Email
Request Information
Age/Grade Level
*
Number of Classes
*
Students Per Class
example (26/28/30)
Pick your Learning Lab
*
Choose the Learning Lab you are requesting.
Pattern, Strategies, & Number Sense (Grades PreK–K)
Amazing Magnets (Grades PreK–5)
Invertebrate Encounter (Bugs) (Grades PreK–5)
Math In Action (Grades K–2)
Estimation Station (Grades K–3)
GeoSpace (Grades K–5)
Simple Machines 1: Wheels, Levers, & Pulleys (Grades 2–5)
Kids Design Engineering (KDE) (Grades 2–5)
Forces at Work (Grades 2–5)
Tomorrow's Energy Today (Grades 3–5)
Math Mosaic (Grades 3–5)
Exploring Electricity (Grades 3–5)
Cardboard Automata (Grades 5–6)
Exhibits-To-Go: Ramps & Rollers (Grades PreK–8)
Exhibits-To-Go: Simple Machines 2: Machines in Action (Grades 3–8)
Requested Date (1st Choice)
*
MM slash DD slash YYYY
Requested Date (2nd Choice)
*
MM slash DD slash YYYY
Requested Date (3rd Choice)
MM slash DD slash YYYY
Requested Start Time (1st Choice)
*
Requested Start Time (2nd Choice)
*
Requested Start Time (3rd Choice)
Learning Lab Information
Number of On-Staff Adults
Please enter a number from
1
to
30
.
Number of Adult Volunteers
Please enter a number from
1
to
30
.
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