Discovery Kit Reservation Form

ED Discovery Kit Request

• Teacher Name*
  First Last
• School or Group Name*
• Physical Street Address (for shipping, no PO boxes please)*
  Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State 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

• Which Kit are you requesting?*
  • K-2: Discovering Dinosaurs
  • K-2: Cycles of Life
  • K-2: Celebrating Culture
  • 3-5: Earth Rocks
  • 3-5: Okie Animals
  • 3-5: Oklahoma Artifacts
  • 6-8: Explore Geology
  • 6-8: Digging in the Past
  • 6-8: Life on Earth
  • 9-12: Formed in the Past
  • 9-12: Biodiversity and Survival
  • 9-12: Anthropology 101
• Grade of Students*
  • K-2
  • 3-5
  • 6-8
  • 9-12
• How many students will use this kit?*
• How many teachers will use this kit?*
• Preferred Month to Receive Kit*
• Method of Delivery*
  • Pick up at Museum
  • Ship to School
• Comments:
• CAPTCHA