Family Science Night Application for 2026 - 2027
Thank you for your interest in the Children's Science Center Lab's Family Science Night program for the 2026 - 27 school year. Please note the application MUST be submitted with the knowledge and consent of the school. One application is accepted per school. All fields are required.
School/Organization Information
School/Organization Name
*
Address
*
Street address, City, State, Zip Code
County/City
*
Please Select
Fairfax County
Alexandria City
Arlington County
Fairfax City
Falls Church City
Loudoun County
Prince William County
Manassas City
Manassas Park City
Other
County/City if not included above
Is this application for a Title 1 school?
*
Yes
No
What percentage of the student population is eligible for free or reduced-price meals?
*
What percentage of the student population is ELL/ESL?
*
Name of Administration Contact
*
Principal or Assistant Principal
Administration Email
*
example@example.com
Administration Contact is:
*
Principal
Assistant Principal
Point of Contact Information
This will be the person who is running the vent on the school's side and is expected to participate in 8 weeks of communication with the Family Science Night Program Manager leading up to the school's event date.
Name
*
First Name
Last Name
Role in the School/Organization
*
Teacher, Principal, PTA, etc.
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Requested Dates
Please enter four (4) dates in order of preference, on Tuesdays and Thursdays only, September 2026 through December 2026. We will do our best to accommodate your first request if selected.
*
-
Month
-
Day
Year
*
-
Month
-
Day
Year
*
-
Month
-
Day
Year
*
-
Month
-
Day
Year
Submission of this application indicates the school/organization agrees to the following obligations. Failure to comply with the terms of this agreement may lead to forfeiting your scheduled event or ineligibility to participate in future events.
I have read and agree to the obligation listed in the Family Science Night Obligations 2026 - 2027 document.
*
I agree
This Family Science Night application is submitted with the knowledge and consent of the school/organization.
*
Yes
United Bank is the premier sponsor for Family Science Night in the 2026 - 2027 school year.
Submit
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