Request for Early Explorers Program

Use this form to request a program brought to you that is suitable for preschool.

NOTE: This is not a reservation! A BCAS Staff member will be in contact with you to discuss your school program request.

Name(Required)
Please enter your first and last name.
Please enter your email so our staff can contact you to discuss your school program request.
Please enter a phone number where we can reach you during the day so our staff can contact you about your program request.
School Name(Required)
Please enter the name of your school.
Address(Required)
Please provide the address of your school.
Location for Program(Required)
If you are coming to BCAS, please select BCAS. If we are coming to your school, please select In School.
Outreach Topic(Required)
Please select the topic you are interested in for your school group.
MM slash DD slash YYYY
Please provide three possible dates for the field trip.
MM slash DD slash YYYY
Please provide three possible dates for the field trip.
MM slash DD slash YYYY
Please provide three possible dates for the field trip.

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