Schedule a STG Program

You may submit your Science To Go Program Request online by completing the form provided below.  You may make selections for more than one program type if the programs are to be held in the same school during the same visit date.    Please submit a separate form for each different school.

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Site Contact Information
* Contact Name:
* Title / Position:
* Work Phone: ( )     Ext. 
   Work FAX: ( )      Ext. 
  Home Phone: ( ) 
* Email Address:                               
Program Site Information
* School Name:
* School Address:
* City:
* State:     * ZipCode: 

Have you had Science To Go at your school before?  (Yes)  (No)

Program Selection Information
Enter your Science To Go program and lab requests in the following sections.  Please indicate up to 3 potential visit dates, if possible.
REQUESTED VISIT DATE:
* Choice 1:
Click Calendar icon to fill      Click to pick a date
 Choice 2:
Click Calendar icon to fill   Click to pick a date
 Choice 3:
Click Calendar icon to fill   Click to pick a date
SECTION I:  STG Large Assembly Program
Number of shows:
 		Students per show
 (300 max.)
 		Grade Level:
  
[CTRL+Left-click]
to select multiple
grade levels
 
SECTION II:  STG Small Assembly Program
Number of shows:
 		Students per show
(60 max.)
 		Grade Level:
  
[CTRL+Left-click]
to select multiple
grade levels		 Program Titles:
[CTRL+Left-click] to select
multiple titles
               
SECTION III:  STG Discovery Labs
Number of Labs:
 Students per Lab
(30 max.)
 		Grade Level:
  
[CTRL+Left-click]
to select multiple
grade levels		 Lab Titles:
[CTRL+Left-click] to select
multiple titles
               
SECTION IV:  STG STARLAB To Go
Number of shows:
 		Students per show
(30 max.)
 		Grade Level:
  
[CTRL+Left-click]
 to select multiple
grade levels
           
Additional Comments:

 

  

 



 
Scheduling Contact Information
Name: Scheduling
One 7th Street
Augusta, GA 30901
Phone: (706) 821-0221 or (800) 325-5445 ext. 0221
FAX: (706) 821-0269
Email: Scheduling@nscdiscovery.org