2019-20: 4th QUARTER PROGRAM REGISTRATION FORM - Howard B. Owens Science Center
The information submitted in the registration form will be used to schedule a date and time for your trip, as well as to communicate and update the school contacts with information. Upon a confirmed date and time, a Prince George's County Public Schools (PGCPS) bus will be reserved for ALL PGCPS unless an alternative bus company is used and communicated.

WE ARE EXEMPT FROM ADMINISTRATIVE PROCEDURE 6153.-
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An email confirmation will be sent to the 1st and 2nd contact person on the registration form. Please read all the information that is provided.
PLEASE SELECT YOUR SCHOOL *
PLEASE CHOOSE CAREFULLY - SCHOOLS ARE IN ALPHABETHICAL ORDER.
SCHOOL START TIME: *
PROGRAM OFFERINGS FOR QUARTER THREE: *
GRADE LEVEL: *
OUR PROGRAMS ARE GRADE SPECIFIC . PLEASE REQUEST THE APPROPRIATE GRADE LEVEL FOR YOUR STUDENTS.
How many classes do you wish to register for the program selected INCLUDING your own? *
NUMBER OF STUDENTS YOU ARE REGISTERING TO ATTEND: *
MAXIMUM NUMBER OF STUDENTS SCHEDULED ON YOUR TRIP IS 32 UNLESS SPECIFICALLY STATED OTHERWISE.
Are you registering for a single class or planetarium program in which the entire grade level can attend together? *
If you are scheduling for the entire grade level, how many days do you need? *
If you are scheduling for more then one class and more then one day , how many buses do you need each day? (a single bus holds 55 students) *
NAME OF CONTACT PERSON: *
EMAIL ADDRESS OF CONTACT PERSON: *
AN EMAIL MESSAGE WILL BE SENT TO YOU REGARDING YOUR SCHEDULED DATES.
TELEPHONE NUMBER FOR YOUR SCHOOL: *
NAME OF 2ND CONTACT PERSON (different from 1ST contact): *
EMAIL ADDRESS OF 2ND CONTACT PERSON: *
AN EMAIL MESSAGE WILL BE SENT TO YOU REGARDING YOUR SCHEDULED DATES.
YOUR SCHOOL WILL BE BILLED FOR TRANSPORTATION:
PLEASE PROVIDE US YOUR SCHOOL'S BUDGET STRAND FOR FY-18  SO WE CAN RESERVE YOUR TRANSPORTATION. WE WILL NOT SCHEDULE YOUR SCHOOL OR REQUEST TRANSPORTATION WITHOUT IT.     Please use the link provided to enter your BUDGET STRAND.                                                                                                  https://goo.gl/forms/0GcXVyeAlD66x4Us2   
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