Family Science Night Application 2019-2020

All fields are required.
Only one application will be accepted from each school.
Applications must be submitted with the knowledge and consent of the school.

Is this application for a Title I School?

Point of Contact First Name

Point of Contact Last Name

Point of Contact Title

School Name

School Address







Requested Dates:
Please enter six (6) dates in order of preference, on Tuesdays and Thursdays only, September 2019 through April 2020. We will do our best to accommodate your first request.

Date 1

Date 2

Date 3

Date 4

Date 5

Date 6

Where will the event be held?

Submission of this application indicates that the school or organization agrees to the following obligations (please mark each box on the left of each item to signal understanding and compliance).

I Agree there is no fee for Title I schools.

I Agree to pay a flat fee of $700 to accommodate up to 350 visitors. A Deposit of 20% ($140) is due at the time of scheduling your event date. The $560 balance is payable at or before the event.

I Agree to provide 15 free-standing, 6-foot rectangular tables. I understand that cafeteria tables with attached seating or round tables are not permissible.

I Agree to provide a minimum of 18 adult volunteers in a single shift to support the event between the hours of 5:15pm to 7:45pm. Adult volunteers are considered 16 years or older. Due to liability restrictions, any volunteers younger than this minimum age requirement are not considered part of the minimum 18 volunteers requested and will not be assigned to an activity.

I Understand that my volunteers must be on-site from 5:15pm to 7:45pm on the day of my scheduled event, and that splitting shifts between multiple groups of volunteers is disruptive to my event's logistics and will not be permitted.

I Agree to provide volunteer contact information (names and email addresses, please) to the Children's Science Center NO LATER THAN 10 DAYS in advance of my scheduled event in order to ensure that each volunteer receives a station assignment and volunteer instruction packet in a timely manner. I agree not to make changes to these assignments without consulting the Children's Science Center first.

I Understand that our school's volunteers must prepare in advance for the event by thoroughly reading the materials provided for their assigned activity, and should address any questions to the Children's Science Center well in advance of the event date as on-site training will not be readily available. I agree to reach out to the Children's Science Center in a timely fashion should I feel I need any assistance in preparing volunteers in advance of the event.

I Agree to not permit food or beverages other than bottled water in the same room as the activities in order to prevent damage to the Center's materials and property.

I Agree to provide the Children's Science Center access to the event space from 4:30pm through 8:00pm.

I Understand that Family Science Nights are only scheduled on Tuesdays and Thursdays from 6:00pm to 7:30pm, September through April.

I Consent to allow the Children's Science Center to take photos and/or video of my event, while respecting those students or parents who do not wish to have their photos or likenesses recorded.

I Agree to provide a minimum of 8 weeks notice prior to canceling or requesting to reschedule an event. I understand that not all requests to reschedule an event can be accommodated.

I Agree to participate in one or more of the communications activities that will be provided to me.

I Agree to complete an evaluation survey sent to me following the event.

Failure to comply with the terms of this agreement may lead to a forfeiting of your scheduled event, or ineligibility to participate in future events.

By submitting this application, the Point of Contact agrees to be the responsible party for the obligations outlined in this agreement.

Full Name of Responsible Party (Will serve as your signature)

Signature Date