Sparking Imaginative Learning
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SE Request Form

Please use this form to indicate your preferred Special Event date(s) and topics(s). Once we have received your request, we will send you a confirmation letter via email.

If you are interested in scheduling and this request form will not accommodate your needs, please email or
call (651) 793-5721.


Customer Information


Contact InformationIt is important that we are able to contact you if we have any questions. Please provide a phone number where you can be reached. Your email address will be used to send you a confirmation letter.


Special Event Date(s)



Show Name


Special Event/ Science Show Schedule

Before you schedule your show(s), there are a few details of which you should be aware:

     Special Events are 45 minutes in length.   If you are scheduling multiple programs on the same day, allow 15 minutes in 
     between each session.  It is best if the Mad Scientist can set up in one location and have the children come to them.

     Maximum number of students dpends only on having enough space for all the students to see and see the front of the room.    
     A travel fee applies for special Events that are more than 15 miles from our St Paul office. 

Start Time: Grade(s):                    # Students:  Special Event Topic: Room/Location: 
1st Program:      
2nd Program:    
3rd Program:    



Payment Information




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