Exploration Place - Education - EP on the Go Form

Online Contact Form

EP on the Go: Outreach Visit Registration

EP is committed to making scheduling visits as efficient as possible! It's simple, just fill out the form below and select "submit". Your information will be sent directly to the Education Department who will then contact you.

We look forward to working with you and your students this year. The EP Education Department is constantly seeking to improve its communication with you and is dedicated to providing quality programs to assist you will all of your needs. Should you have any questions, concerns, ideas or suggestions, please call (316) 660-0620.

Online Registration Form:
Date of Inquiry:		EP Staff Contact:
School Name:	(required)	Address:
USD:
Title 1?	Yes No
School Phone: Alternate Phone:	(required)	School Fax:
Teacher/ Contact Name:		Teacher/ Contact Email:	(required)
Visit Date: 1st Choice 2nd Choice		Preferred Program Time:

Grade level:		# of Students:

I'd Like to Book:	Bring an Assembly
	Bring an Activity
	Bring It All!


Comments:

Yes! I would like to be added to EP's Education Email List to receive updates on programs and special education events.

		To submit this form, please enter the characters you see in the left image: (required)
*If, after submitting your form, you are not contacted by one of our faculty within 3 business days please notify us by calling (316) 660-0665.


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EP on the Go: Outreach Visit Registration

Online Registration Form: