Afterschool 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.

School Name*
School Address*
USD*
Title1?*
School Phone*
-
Alternate Phone*
-
Teacher/Contact Name*
Email Address*
Preferred Time*
Grade Level*
# of Students *
Programs:*
Live Science Shows:*
Starting Date: 1st choice*
2nd choice*
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