S.T.E.M. Form – Skate World

S.T.E.M.

Apply for a S.T.E.M. Field Trip

Name

Name of School or Business

Street Address

City / State / Zip

Please list the best contact phone number for you

Organization's Primary Phone number

Please provide your non-profit certification number

Please give us the email addresses for all teachers participating in the field trip to maintain clear communication and organization leading up to the day of your event.

Please give us the email address for the person handling accounts payable at your school.

Please select the option which best describes you

What best describes your group?

How many students are you planning on bringing?

What grade level(s) will be participating in the field trip?

What lesson plan are you interested in our educator teaching?

What date would you prefer for your event? Please list at least 3 available dates for your field trip. We will do our best to accommodate you.

What three hour time period would you prefer for your event? Typically because of bus transportation, the earliest arrival is 9:30am. If you can only do 2-2.5 hours, we can adjust our schedule to accommodate your needs. For example, please type 9:30am-12:30pm or 9:45am-12:15pm

Would you be interested in having cheese pizza and drinks for lunch after the STEM lesson? We have an amazing deal with fresh pizza for our school groups! 1 slice/1 drink =$4 OR Unlimited pizza and drinks $7 per student.

We have an exciting and interactive game room, would you be interested in purchasing a group package for your students?

We encourage students to bring spending money to use in our new arcade and extra snack options. Some students enjoy being in the atmosphere without skating and we want them to have the opportunity to fully enjoy themselves.

How many chaperones are you planning on bringing?

How did you hear about our S.T.E.M program at Skate World?

Any additional comments?

56032

Come see our NEW facility! Please Clear Bags Only

S.T.E.M.

Apply for a S.T.E.M. Field Trip