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Family Science Night

FAMILY SCIENCE NIGHT APPLICATION FOR 2021-22

Thank you for your interest in the Children’s Science Center’s Family Science Night for the 2021-22 school year.  The 2021-22 Family Science Night application includes a section to indicate your choice for a virtual or an in-school Family Science Night. Please indicate your first choice below. As the situation continues to evolve, we will determine the preferred format together as we get closer to the date.

Please note that the application MUST be submitted with the knowledge and consent of the school. Required fields are indicated with an asterisk. One application is accepted per school.

Organization

Point of Contact

School Consent*

School Obligations*

Please Read
Submitting the Family Science Night Application for 2021-22 indicates agreement to the
attached obligations. Please indicate that the obligations have been read and are agreed to as
written.
Thank you for your submission. The Family Science Night 2021-22 blind drawing will take place
in early June, 2021 and you will be contacted in June. If you have any questions, please email
FSN@childsci.org
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Requested Dates:
Please enter size (6) dates in order to perference, on Tuesday and Thursdays only.
September 2020 through April 2021. We will do our best to accommodate your first
request.

Submission of this application indicates that the school or organization
agrees to the following obligations (please mark each box on the left
of each item to signal understanding and compliance).

Failure to comply with the terms of this agreement may lead to a forfeiting
of your scheduled event, or ineligibility to participate in future events.

By submitting this application, the Point of Contact agrees to be the
responsible party for the obligations outlined in this agreement.

Thank you! Your submission has been received!
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