Tell Us About it! 

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You've taken the first step in bringing the AWESOME programs of Mad Science to you.  Please fill out and submit this form so we can work on bringing programming to your area.

Name


Email Address                                        Phone Number
       

Address                                    City                   State   Zip
        

Your Child's School


How did you hear about Mad Science?


What type of programming are you interested in? (please choose all that apply)

Birthday Parties   Camps      After School Programs

Workshops           Carnivals  Preschools

Assemblies          Scouts       Special Events

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For more info please call 803-739-2122