Discovery Kit Request Form Teacher Name School or Group Name Physical Street Address (for shipping, no PO boxes please) Address Line 2 City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code Phone (You will only be contacted regarding this reservation) Email Would you like to receive email information about upcoming programs and events? Yes No Discovery Kit Information Grades K-2 3-5 6-8 9-12 How many students will use the kit? How many teachers will use the kit? What Kit are you requesting? K-2: Discovering DinosaursK-2: Cycles of LifeK-2: Celebrating Culture3-5: Earth Rocks3-5: Okie Animals3-5: Oklahoma Artifacts6-8: Explore Geology6-8: Digging in the Past6-8: Life on Earth9-12: Formed in the Past9-12: Biodiversity and Survival9-12: Anthropology 101 Preferred Month to Receive Kit Method of Delivery Pick-up at MuseumFed-Ex Ship to School Comments Thank you! We will be in contact with you soon to schedule.