Outreach Registration Form

Note: We are experiencing a high volume of requests. Please allow ample time after a form submission for our reservationists to reach out to you.Outreach at your School

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School Information

Group or School Name *

Street Address *

City *

State *

Zip

School District

Contact First Name

Contact Last Name

Contact email

Billing email

Phone Number

Alternate Phone Number

Grade Level(s)

Number of Students

Number of Adults

One adult for every five students is required.

Do 40% or more of your students receive Title 1 services?

Yes

Desired Visit Date *

Month

Day

Year

Second Choice Visit Date *

Month

Day

Year

Time of Arrival *

Time of Departure

Great Lakes Science Center offers many workshops for grades pre-K - 12. Learn more about our available workshops.

Would you like to add a hands-on workshop to your outreach visit? *

Yes

Please select a workshop. *

Great lakes Science Center offers different Big Science Shows for our outreach program. To see show options, please click here.

Would you like to add a Big Science Show to your outreach visit? *

Yes

Please select a science show. *

Leave this field blank

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Outreach Registration Form

School Information

NASA Glenn Visitor Center

Membership

Member Activities