Mobile Museum Booking Form

Arkansas Discovery Network at the Museum of Discovery
500 President Clinton Ave., Suite 150
Little Rock, AR 72201
(501) 537-3071 (office)
(501) 396-7054 (fax)


School Name:*
School Address:*
Contact Name:*
Contact Email:*
Contact Number:*
Preferred Date:*
Number of Students:*
We can only handle 100-120 students a day. If you have more students more days may be needed.
Bell/Class Schedule:
Upload Schedule:
.txt,.doc,.docx,.pdf
Copy/Pastes Schedule:
Have you ever recieved a Race for Planet X kit from us?
Yes
No
Do any of your students have special needs?
Handicapped Access
ESL
Learning Disability
Other:
jQuery UI Datepicker - Default functionality