Program Request FormOutreach & HybridEducationPublic ProgramsField TripsOutreachBooking Your Outreach ProgramSchool/Group Name*Number of Children*Number of Classes*Age Range of Children*Requested Program Date* If you would like to book more than one date, please list them in the "additional questions/comments" section below.Special NeedsThe Museum's priority is to make educational programs accessible to all students. We ask that you please share any special needs your students may have ahead of time so that we can accommodate their needs and help offer appropriate programs.Requested Start Time* : Hours Minutes AMPM AM/PMProgram Grade*Select all that apply. Preschool Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th GradePrograms*Check each one you are interested in. Amazing Adaptations (PreK-6) ASTRO Camp (K-6) Bigfoot, Mothman, & Champie - Oh My! (3-6) Fun with Fossils (K-2) Amazing Adaptations (PreK-2) It Can Fly! (PreK-6) Revolutionary Kids (K-6) Time Travelers (K-2)Contact Person*Address*Telephone (day)*Email*Payment Source*For example: BOCES, PTA, school business office, etc.Additional Questions/ConcernsFor example: questions about payment, scheduling conflicts, etc.
