C2 Pipeline Innovation & Curiosity STEM Lab Interest Form

Thank you for your interest in the C2 Pipeline Innovation & Curiosity STEM Lab! We look forward to accommodating your needs.

Please refer to the Innovation & Curiosity Lab Brochure for available activities, descriptions, and pricing.

Please fill out the following form and we will get back to you soon!

Fields with asterisks (*) are required.

First name *

Last name *

Email *

Contact Person's Phone Number *

School/Institution/Community Group *

If the activity is to be facilitated at your site, do you have a computer, projector, screen and audio available?

Yes

Would you like a campus tour scheduled? (approximately 1 hour) *

Yes

Activity *

Approximately how many students will you be bringing? *

What is the age range of the students? *

Middle School (6-8)

High School (9-12)

Please provide us with a few dates that are available for your group

What time of day would you like to visit? *

Will your group be eating lunch on campus during their stay?

No lunch

Lunch at Student Center - Fast food approx. $10/person electronic payment only

Lunch at Tower's Cafe - Buffet approx. $10.50/person electronic payment only

Brining our own lunches

Please enter where the activity will take place. *

C2 STEM Lab

My Location

Address line 1 *

Address line 2

City *

State/province/region *

Postal/zip code *

Country *

Would you like us to reach out about lunch options?

Yes

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First Choice

Second Choice

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