Preschool Science on the Go Form

Exploration Place is committed to scheduling visits as simple as possible! It's simple, just fill out the form below and select "submit." Your information will be sent directly to an Education Department staff member who will then contact you. Should you have any questions, concerns, ideas or suggestions, please call 316.660.0620.

Date of Inquiry*
Staff Contact*
School/Organization Name*
Address*
USD*
Title1?*
Phone*
-
Alternate Phone*
-
Teacher/Contact Name*
Visit Date: 1st Choice*
2nd Choice*
Preferred Time*
Grade Level*
# of Students*
Hands-on Program:*
Comments
How did you hear about us?