Request an Education Program

Request a Program Form

Outreach Request Form

Thank you for reaching out to us! Please submit your request a minimum of six weeks before the date of your event. Kaleideum’s participation is dependent upon staff availability.

Organization*
Event Name*
Event Date*
Set-up/Arrival Time*

: HH

MM
Event START Time*

: HH

MM
Event END Time*

: HH

MM
Who is the audience?*
Number of people expected:*
Is this event outdoors?*
- Yes
- No
How would you like Kaleideum to participate?*
Kaleideum charges a fee for science and theatre-based programs.
What time would you like the program to be presented*

: HH

MM
Location of the Event*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Where should we unload?*
Where should we park after unloading?*
What, if any, is Kaleideum's fee to participate?
Do you provide a table and chairs?*
- Yes
- No
Size of table?*
Is a tent permitted?*
- Yes
- No
What size tent is permitted?*
Who is our contact person for the event?*
First Last
Phone*
Email*
Other notes or details: