School/Science Center Partnership Programs

* indicates required field.

"2017-04-17","2017-04-10","2017-04-29"

Type of Program *

Big Science Lesson

Generation Science

Group Name *

Date *

Year

Month

Day

Arrival Time *

Arrival Time Option *

Departure Time *

Departure Time Option *

Grade/Age

Approximate # of Students *

Approximate # of Teachers *

Approximate # of Chaperones

Name of Group Contact *

Email *

Phone Number of Contact Person (work) *

Additional Phone Number of Contact Person (home/cell)

Address for Invoice

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Impression 5
Science Center

200 Museum Drive, Lansing, MI 48933 517.485.8116