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Greater Kansas City and SW Missouri
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Program Request

Please use this form to request a program quote and we will contact you.  Your program is not confirmed until we receive your deposit and you have an email confirmation. 

 
If you have any questions, please email us at info@madsciencegkc.com, or call us at (913) 888-8877. 
 
Required*
Customer Information
Name*
Organization
Address

City*
State, ZIP*
Phone*
Alternate Phone
Contact me during
9am-12pm 12pm-5pm after 5pm any time
Email*:
We must be able to contact you to finalize your request, so please make sure you enter at least one phone number and an email address.
How did you hear about us?

Program Information

Location Address: Check if the same as address above

Type location and address here if different.

Requested Date of Program*:
Start time*:
Approx. # of children participating*:
Type of Program*: Show/Assembly Hands-on Workshop
Science Night/Booths Preschool Workshop
Science Camp Scout Badges
Birthday Party After School Program


Comments, Additional Information or to request a specific program or Mad Scientist.

Booking and Confirmation

  • Mad Science programs are booked on a first-come, first-served basis. Program dates, times and specific Mad Scientists are subject to availability. Your program is booked and confirmed with your $50 credit card deposit and our Confirmation email.
  • You will receive a call from Mad Science within 48 hours (Monday - Friday) to book and confirm your program.
  • We prefer to take your deposit over the phone using a Visa, Mastercard or Discover credit card to ensure the security of the transaction. Checks can be mailed to the office if needed.
  • Before clicking on the submit button check your information thoroughly and complete any required* fields.
  • If you have any questions please call the office at (913) 888-8877 or send us an email at mailto:info@madscienceofhamptonroads.com

This form is to request a Mad Science Program.
Clicking on the submit button will send your request
to Mad Science of Greater Kansas City.


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