Family Science Night Request Form

CONTACTMuseum Outreach Educator
408 673 2853
familysciencenight@cdm.org

 

Bring children, parents and teachers together for hands-on science experiences.

 

Reservation Information

  • Group Size: Students, parents, and teachers of one school
  • Staff Development: 45 minutes just prior to the event
  • Event: 1.5 hours on a weekday evening
  • Cost: $1065

 

Family Science Night Request

 

Name of School/Organization:

School/Organization Address:

City: State: Zip Code: County:

School Phone: Fax:

Contact Name: Phone: E-mail:

In order of preference, list three dates you would like to have us come to your school:

1st Choice: ,

2nd Choice: ,

3rd Choice: ,

Number of children: Number of adults:

Number of classes: Grade or age range:

For Schools Only Type: Name of School District:

Select a Family Science Night Theme:

Submit Button sends us your message and gives Children’s Discovery Museum permission to contact you via the email address provided.

 

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