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.

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

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