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Workshop Request Form

Mad Science Field Trips are ideal to enhance your science curriculum. Let us know what you are looking for by completing the form below and we will contact you to discuss the details.

Customer Information
Contact InformationIt is important that we are able to contact you if we have any questions. Please provide a phone number where you can be reached. Your email address will be used to send you a confirmation letter.
Field Trip Date(s)
Field Trip Schedule

Before you schedule your show(s), there are a few details you should be aware of:

  • Field trips are 60 minutes in length.
  • If you are scheduling multiple field trips on the same day, allow 15 minutes in between each.
  • Each field trip can accommodate one class (approx 25 kids.)
  • A travel fee will apply.
Start Time: Grade(s): # Kids: Program / Workshop
1st Field Trip:
2nd Field Trip:
3rd Field Trip:
4th Field Trip:

Payment Information



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