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Partner Application Form

Partner up with the Children's Science Society to bring innovative STEAM engagement opportunities to children and families in the Lower Mainland, BC.

Please fill out application form below to be included in CSSC's Partner Database and stay tuned for engagement opportunities.
Name of Primary Contact*

First NameLast Name
Primary Contact Email*
example@example.com
Primary Contact Phone Number*
Please enter a valid phone number.
Name of Business*
Address of Business*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What type of programs do you teach to children?*

ScienceTechnologyEngineeringMathArtSportsChildcare/Child Education
Website address*
Years in business*
What type of partnership are you interested in? (click all that apply)

Deliver your company program through CSSC- 1-3 hours, short programsMarketing Booth at CSSC eventSponsorship with donation (money, product, or service)Other
What City are you located?

LangleySurreyMaple RideAbbotsfordOther
What age group do you work with? Click all that apply

3-56-1213-1818-24
Are you authorised to submit this form on behalf of named organization?

yesno
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