Science on the Road Request - Discovery Centre, Halifax's Science Centre

Salutation

Contact First Name *

Contact Last Name *

Contact Phone Number *

Extension

Email Address *

Confirm Email Address *

School Details

School Name

Specify School Name *

School Address 1 *

School Address 2

Town / City *

Province *

Postal Code *

School Phone *

School Fax

Principal Name

Principal Email

Select Dates and Times

Choose three (3) possible dates for us to visit

Time

:

Visiting Date 1 *

Visiting Date 2

Visiting Date 3

Please provide the following bell times

Does your school have staggered bell times?” *

Regular Bell Times

Start of Day Bell *

:

End of Day Bell *

:

Start of Recess Bell *

:

End of Recess Bell *

:

Start of Lunch Bell *

:

End of Lunch Bell *

:

Staggered Bell Times

Specify Grade(s) *

Start of Day Bell *

:

End of Day Bell *

:

Start of Recess Bell *

:

End of Recess Bell *

:

Start of Lunch Bell *

:

End of Lunch Bell *

:

Specify Grade(s) *

Start of Day Bell *

:

End of Day Bell *

:

Start of Recess Bell *

:

End of Recess Bell *

:

Start of Lunch Bell *

:

End of Lunch Bell *

:

Select Workshops

Please note that there is a maximum capacity of 30 students per workshop.

Workshop

Ramp It Up!

Grade Relevance

# of Workshops

# of Students

Specify Grade(s)

Workshop

Storm Structures

Grade Relevance

# of Workshops

# of Students

Specify Grade(s)

Workshop

We’re Wheely Moving

Grade Relevance

# of Workshops

# of Students

Specify Grade(s)

Workshop

May the Forces be With You!

Grade Relevance

# of Workshops

# of Students

Specify Grade(s)

Workshop

Bridging the Gap

Grade Relevance

# of Workshops

# of Students

Specify Grade(s)

Workshop

Geology Rocks!

Grade Relevance

# of Workshops

# of Students

Specify Grade(s)

Workshop

Facts of Light

Grade Relevance

# of Workshops

# of Students

Specify Grade(s)

Workshop

Slimy Science

Grade Relevance

# of Workshops

# of Students

Specify Grade(s)

Workshop

Capture the Wind

Grade Relevance

# of Workshops

# of Students

Specify Grade(s)

Workshop

Electric Odyssey

Grade Relevance

# of Workshops

# of Students

Specify Grade(s)

Workshop

Heat of the Moment

Grade Relevance

# of Workshops

# of Students

Specify Grade(s)

Workshop

Tide to Technology

Grade Relevance

# of Workshops

# of Students

Specify Grade(s)

Whole School Demo

Select Items

Boom, Blaze, Blast Off!

Specify Grade(s)

# of Sessions

# of Students

Select Items

Colourful Chemistry

Specify Grade(s)

# of Sessions

# of Students

Select Items

Abrakazam

Specify Grade(s)

# of Sessions

# of Students

Digital Planetarium

Please note that maximum capacity of planetarium shows are 25 people per session. Available for all grades.

Select Items

Above and Beyond

Specify Grade(s)

# of Sessions

# of Students

Select Items

Stories of the Night Sky

Specify Grade(s)

# of Sessions

# of Students

Additional comments or questions:

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Science on the Road Request Form

School Details

Select Dates and Times

Regular Bell Times

Staggered Bell Times

Select Workshops

Whole School Demo

Digital Planetarium

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