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CodeGreen | CodeVert
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Discovery on Demand Request Form
Discovery OnDemand
Salutation
Mr.
Mrs.
Miss
Contact First Name
*
Contact Last Name
*
Event Name
*
Event / Venue Address 1
*
Event / Venue Address 2
City
*
Province
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Nova Scotia
Prince Edward Island
Postal Code
*
Contact Phone Number
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Extension
Email Address
*
Confirm Email Address
*
Date of Event
*
Alternative Event Date
Event Start Time
*
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Event End Time
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Activity Start Time
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Activity End Time
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Event Name
*
Program(s) of Interest
*
Portable Digital Planetarium
Science Show
Drop-in Booth
Summer Camp/Daycare Workshop
Digital Planetarium Show
*
Above and Beyond
Stories of the Night Sky
Do you require enhanced accessibility?
Live Stage Shows
*
Abrakazam
Colourful Chemistry
Drop-in Booth
*
Maritimes under the Microscope
Up in the Air
Sparks of Science
Bouncing Bubbles
Make Some Noise
Slime Time
Summer Daycare and Camps Workshop
*
Science of Slime
Up in the Air
Tune it Up
Tell Us About Your Event
*
Event Location
*
Inside
Outside
Electrical Access
*
Yes
No
Estimation of Event Attendance
*
1-30
30-100
100-500
500-1000
Additional Information
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