Sparking Imaginative Learning
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Special Event Request Form

Please use this form to let us know what type of event you are interested in hosting. All events are booked on a first-come, first-served basis and are subject to availability. A member of our office staff will contact you within two business days to discuss your event.

Please note that the event is not confirmed until you speak to a member of our staff and have been sent a confirmation email. 

Contact Information:


      Zip Code:    

Alternate Phone:
How did you hear about us?

Program Information

Type of program requesting:
Show/Assembly Science Night/Booths Other
Show/Assembly Title (If applicable)   
Booth Topic (If applicable)  

Please Choose when your event will be held:

First Choice
Program Date:
Start Time:

Second Choice
Program Date:
Start Time:
How many children will be participating?
Coupon Code (If Any)
Additional Information:
In order to verify that you are a not a robot, please solve the simple math problem in the space below and click 'Submit'.  



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