STEMSpark School Program Reservation Request

Name *

First Name

Last Name

Phone

(###)

###

####

Age Group or Grade Level (select all that apply) *

Infant

Toddler

Pre-K

Kindergarten

Grade 1 - 5

Other

Infant, Toddler, Pre-K: which program offerings interest you? (select all that apply) *

Animal Adventures

Bubble, Pop, & Fizz

Fairytale Engineering

Light & Shadow

Mix it Up: Science & Art

Nature Discoveries

Science Superheroes

Sensory Sound Play

Shark Discoveries

Sink or Float?

Slippery Science

Space Explorers

Up, Down, All Around: Amazing Air

Design Your Own! Customize a program to meet your needs

Kindergarten - Grade 5: which program offerings interest you? (select all that apply) *

Amazing Air

Animal Mysteries

Fossil Lab

Habitat Engineering

Light Lab

Mad Matter! Chemical Reactions

Mythical Engineering

Sound Lab

Space Suit Engineering

Design Your Own! Customize a program to meet your needs