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StarLab Request
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* Indicates required question
School or Organization Name
*
Your answer
Your Name
*
Your answer
Best Contact Number
*
Your answer
Address of your School/Organization
*
Your answer
How many students will be at the program? (StarLab can accommodate 25 students at once)
*
Your answer
Where would you like for us to set up the StarLab?
*
Your answer
Preferred Date of program
*
MM
/
DD
/
YYYY
Backup Date of program
*
MM
/
DD
/
YYYY
Desired start time of program
*
Time
:
AM
PM
How long would you like for us to stay? (30 minutes session for every 25 students)
*
Your answer
Additional Notes?
*
Your answer
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