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Organization Name
Visit Lead Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Visit Lead Phone
Please enter a valid phone number.
Visit Lead Email
*
example@example.com
Grade or Age Range
Number of Children
Number of Chaperones
Are you a Title 1 School?
Please Select
No
Yes
Museum Visit?
*
Please Select
Yes
No
Museum Tour?
*
Please Select
No
Yes
Type of Program
*
Please Select
In Museum Workshop
Outreach
Mobile Classroom Bus
Program Requested, (MC) = Available on Mission Control Bus
*
Please Select
Spark of Innovation (storytime) (MC)
3 Little Pigs in Space Storytime (PK-K) (MC)
Up, Up and Away Storytime (PK-K) (MC)
Return to the Moon (1-2)
Things that Fly (1-2)
Robots: Simple Coding (1–2) (MC)
Rocketry: Gravity (1-5) (MC)
Aircraft Design: Forces & Motion (3-8) (MC)
Moonquakes: Earthquake mitigation on the Moon (3-5)
Robots: Informational Processing (3-5) (MC)
Starlight’s Journey: Stellar Brightness (3–5)
Space Gloves: Thermal Transfer Device (6-8)
Robots: Creating Programs (6–8)
Rocketry: Motion (6-12)
Are we Alone? Aliens and Exoplanets (9-12)
Robots: Cyber Security Ciphers (9-12)
When Pigs Fly: Newton and Forces (9–12)
ISS Presentation (2-8)
Frontiers of Flight Presentation (2-8)
Starr Patterns (K-3) *Only on Mission Control
Visions from a Telescope (4-8) *Only on Mission Control
Preferred Date
-
Month
-
Day
Year
Date
Preferred Time
Hour Minutes
AM
PM
AM/PM Option
Alternative Date
-
Month
-
Day
Year
Date
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If you have any questions please call the Education Department at (619) 234-8291 ext. 119.
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