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After School Program Interest or Pre-Registration Form

Welcome if you are new to Mad Science and Welcome Back if you are one of our 60+ after-school program sites in Western New England!

Mad Science After School programs are ideal for elementary schools (K-6), pre-school and daycare programs, parks and recreation programs, community centers and Y's and can be customized to suit any group size, budget or time frame. Programs can be parent funded, sponsored, grant-funded or a combination of any of these. All we need is a classroom or all-purpose room with power and access to nearby water! We can do all the registrations on-line, provide flyers and even a kick-off science assembly or lunch mini-shows. 

Let us know what you are looking for by completing the form below and we will contact you to discuss the details.

Basic Information tr>
Contact InformationIt is important that we are able to contact you if we have any questions. Please confirm a phone number where you can be reached. Your email address will be used to send you additional information and for booking confirmation letters. Please provide this information even if you are a returning school to keep our contacts up-to-date. 
After School Program Preferences:

Here are a few details you should be aware of:

  • Programs are 60 minutes in length, meet for one hour each week, and can last for 6, 8, 10 or 12 weeks
  • Multiple programs may be scheduled on the same day, different days or back-to-back.
  • Each class can accommodate up to 21 kids.
  • We only require a classroom that has access to water, power and preferably seating that can accommodate small groups. 
Preferred Time/Start Date/Day of Week if known (Fall programs typically begin in early October, Winter-Spring in Feb or March. Other start dates may be possible) Grade(s): # Weeks: Room/Location: (if known)
1st Class:
2nd Class:
3rd Class:

Partner/Sponsor Information (if applicable)


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