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Home
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Education
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SHARP Literacy Program Request Form
SHARP Literacy Program Request Form
Fields marked with an asterisk (
*
) are required.
Main Contact & School Information
Full Name
*
Dr.
Miss
Mr.
Mrs.
Ms.
Mx.
Prof.
Rev.
Prefix
First
Last
Suffix
Job Title / Position
*
School Phone Number
*
Alternate Phone Number
*
Email
*
School Name
*
School Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
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Mississippi
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Montana
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New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
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Pennsylvania
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Rhode Island
South Carolina
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Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
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Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
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State
ZIP Code
Confirmation materials will be provided via email. When we send those materials, we can copy your principal and/or any other individuals as well. If you'd like other contacts included, please list their full name(s) and email address(es) in the space provided below.
Group Information
Grade Level of Students
*
Select one of the following…
2nd Grade
3rd Grade
Estimated # of Students
*
Estimated or Max # of Adults (Minimum Requirement is 1 for Every 10 Students/Children Attending)
*
Preferred Visit Date
1st Choice Date – Mondays Only
*
SHARP Literacy visits can only be booked on Mondays when our building is closed to the public. All requests must be made at least three (3) weeks in advance or more from your desired visit date.
MM slash DD slash YYYY
2nd Choice Date – Mondays Only
*
SHARP Literacy visits can only be booked on Mondays when our building is closed to the public. All requests must be made at least three (3) weeks in advance or more from your desired visit date.
MM slash DD slash YYYY
3rd Choice Date – Mondays Only
*
SHARP Literacy visits can only be booked on Mondays when our building is closed to the public. All requests must be made at least three (3) weeks in advance or more from your desired visit date.
MM slash DD slash YYYY
Timing Preference
Preferred Time Slot for 2nd Grade Groups
*
There is a 60 student maximum limit for each time slot.
9:45 AM – 11:30 AM
11:45 AM – 1:30 PM
Preferred Time Slot for 3rd Grade Groups
*
There is a 40 student maximum limit for each time slot.
9:45 AM – 11:00 AM
11:15 AM – 12:30 PM
Additional Questions
Does anyone in your group have any special needs or accommodations to note?
*
If you have any attendees that need special accommodations or considerations that we should be aware of, please let us know by using the boxes below.(Examples include attendees who are in wheelchairs, attendees with individual aides, attendees who are English Language Learners and are bringing an interpreter, attendees who are deaf or hard of hearing that are bringing an interpreter, etc.) We may reach out to you if we have any follow-up questions or need to share any information.
N/A
Our group has individuals who use a wheelchair or crutches.
Our group has individuals who have 1:1 aides.
Our group has individuals who are English Language Learners.
Our group has individuals who will be bringing their own interpreter.
Our group has individuals who are deaf or are hard of hearing.
Other
If you checked "Other" in the question above, please specify the other special accommodations or considerations to share.
*
Does anyone in your group have severe allergies to note?
*
An inherent risk of exposure to allergens exists in any public place where people are present. By visiting Discovery World, you voluntarily assume all risks related to exposure of allergens.
N/A
Peanut Allergies
Treenut Allergies
Shellfish Allergies
Other
If you checked "Other" in the question above, please specify the other severe allergies to share.
*
Please list any additional notes, requests, program preferences, and/or any other special information we should know.
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.
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