Group Request Form
Required Required Question(s)
Required 1.

School Name
 

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Required 2.

School Address (street address, city, state, and zip)
 

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Required 3.

Contact Name
 

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Required 4.

Phone Number and Extention (555-555-5555)
 

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5.

Best Time to Call
 

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6.

E-mail Address
 

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Required 7.

First Choice of Date and Start Time
 

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8.

Second Choce of Date and Start Time
 

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Required 9.

Total Number of Students (Minimum of 15)

Groups with fewer than 15 students will be charged for 15.
 

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Required 10.

Grade Level
 

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Required 11.

Choose Visit Type
60 minute Museum Visit Only ($3/student)
Workshop Only (prices listed below) - onsite in The Works classrooms
60 minute Museum Visit ($3/student) and Workshop (prices listed below)
Works on Wheels - Workshop Only (prices listed below) - held in your classroom
12.

Workshop Choice; Prices do not include museum visit.

The following workshops are not availble for Works on Wheels 30 minute Magnets, 30 minutes Chemistry Challenge, 30 minute Circuits, 60 minutes Sounds Abound and 60 minute Messy Chemisty.

30 minutes: Magnets, Grades preK-2 ($3)
30 minutes: Chemistry Challenge, Grades 1-4 ($3)
30 minutes: Circuits, Grades 1-6 ($3)
30 minutes: Kaleidoscopes, Grades 1-5 ($4.50)
60 minutes: Magnet Mania, Grades K-2 ($5)
60 minutes: Mixing Molecules, Grades K-3 ($6)
60 minutes: Messy Chemistry, Grades 1-5 ($5)
60 minutes: Sounds Abound, Grades 1-5 ($6)
60 minutes: Super Circuits, Grades 1-5 ($6)
60 minutes: What Floats Your Boat, Grades 1-5 ($6)
60 minutes: Skyscrapers, Grades 3-6 ($5)
60 minutes: Pasta Bridges, Grades 3-9 ($6)
60 minutes: Acids, Bases & Polymers, Grades 4-9 ($6)
60 minutes: Motor Power, Grades 4-9 ($6)
Two hours: Catapults, Grades 3-9 ($10)
Other  
13.

Do you want to add a FaceWarp print for each child? ($1.50 each)
Yes
No
14.

Do you wish to bring a lunch or snack to have at The Works?
Yes
No
15.

Do you need to apply for subsidy? If yes, enter school's percent of students receiving Free or Reduced lunch in comment section.

Yes
No
Maybe
  • Comment:

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16.

Have you been to The Works before? (check all that apply)
Yes, with my classroom
Yes, for Teacher Training
Yes, with my family
No
I'm not sure
Other  
17.

If you are new to The Works, how did you hear about us?
 

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