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Special Event Request Form

 

Are you ready to book your event or just need more information right now?

Complete our request form and a Mad Science team member will contact you between 9 am - 5 pm, Monday to Friday.  Want faster answers?  Call us at (519) 472-8002.

Note:  You must enter a valid email address to use the request form.  Otherwise, the system will not forward your form to us.  Thanks!

REQUEST FOR INFORMATION

Name
City
Daytime phone
and/or Evening phone
E-mail
Contact me during
How did you hear about us?
My child took the After School Program.
My child attended Summer Camp.
A friend told me about Mad Science.
I saw an event where Mad Science was performing.
Internet search engine.

EVENT INFORMATION

Where would you like the event to be held?

What date would you like your event?  We'll do our best to accomodate your choice.

If my first date isn't available, I would also be interested in this date.

       

I'd like my event to start at this time (just to give us an idea).

There might be this many children.
About 35 - 50    Maybe 51 - 75   

EVENT TOPIC

I am interested in:   Show      

                           Fun-station   

I would like my event to have this theme:

Halloween

  

 

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