Outreach Booking FormDid You Know?The moon is 27% the size of the Earth. Before filling out this booking request from, please make sure that you have read the Program options from our Outreach Offerings Brochure. You may download it here. Note: Trips of 60 roundtrip miles or more incur a $1 per roundtrip Mileage Fee.1 Contact Information2 Outreach Information3 Program Information4 Mileage Information5 Notes/CommentsGroup or Organization Name*Your Name* First Last Your Title*Contact Email* Contact Phone*Type of Phone*WorkHomeCellAddress Where Outreach Will Take Place* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Outreach Date Requested* Date Format: MM slash DD slash YYYY Start Time for Program* : HH MM AMPM End Time for Program* : HH MM AMPM Program Duration Notes: StarLab programs last 30 minutes, Demonstrations last 30 minutes, and Table Top Fun activities last 60 minutes.Grade or Age Range of students/participants*Number of students/participants being served* Please refer to our Outreach Offerings Brochure to fill out the following information. (PDF Brochure here)STARLAB® Planetarium Information Bring our STARLAB® portable planetarium and trained staff to your school or event space. Each 20-minute program can accommodate groups of up to 30. Note: Space/room for setup must have at least a 10.5 foot high ceiling and 17 feet in diameter floor space. Time per program: 30 minutes Accommodates: Up to 30 Cost: 1st Program $125, each additional consecutive program $100Baby Bear (PK-1ST) - See the stars as they move across the night sky and hear stories about the constellations.Starry Night (1ST-12th) - Explore and learn the constellations and the night sky for this time of year.Demonstrations Outreach Demonstrations offer fun, exciting, educational programs designed to spark interest and curiosity in students about different science topics that have been appropriately adapted for your group’s age level. All Outreach demonstrations are correlated to Louisiana State Standards and last about 30 minutes. Time per program: 30 minutes Accommodates: Up to 60 Cost: 1st Program $125, each additional consecutive program $100Stuffee’s Lunchbox (PK-3rd) - Stuffee, our six-foot tall blue-haired doll, shares his digestive system with your students. They will discover MyPlate, the USDA’s new healthy eating guidelines, by classifying the contents of Stuffee’s lunchbox.Pop Fizz (PK-4th) - Witness crazy chemical reactions during this introduction to the three states of matter.Young Isaac Newton (3rd-6th) - Explore and learn about Newton’s Three Laws of Motion.Table Top Fun Our interactive Table Top science activities are the perfect way to enliven any festival, fair, or other school or public event, whether you are hoping to reinforce a particular science topic or to simply create a fun, educationally-valid experience! Table Top Fun activities come in two categories, Standard Programs and Deluxe Programs which contain a more supply-intensive make-it-take-it component.Standard Programs Time per program: 60 minutes Accommodates: Up to 100 Cost: 1st Program $100, each additional consecutive program $50Skulls and Fur - Learn about animals native to Louisiana! By looking at their skulls and fur, examining their adaptations and defenses, students will learn what these animals need to survive. Touching allowed!Be a Conductor - Find out if the human body conducts electricity!Straw Rockets - Learn about rocketry and propulsion by building your air-powered straw rocket.Planispheres - Make your own star chart to take home!Whirly Birds - Spin into the history books with the world’s earliest helicopters, creating a modern day version to take home.Celestial Conga - Model the cosmic dance as the earth revolves around the sun and the moon revolves around the earth.Buzzing Balloons - Learn about sound with this fun activity.Deluxe Programs Time per program: 60 minutes Accommodates: Up to 100 Cost: 1st Program $200, each additional consecutive program $150Ooey Gooey Gloop - Students will use inquiry skills to create a polymer that can be taken home.Oreo Cookie Moon Phases - Why does the moon’s appearance change over time? You will learn why in this delicious activity.UV Bracelets & Sunprints - Make a bracelet to detect UV radiation and create a picture using ultraviolet radiation from the Sun.Organs on Parade - Learn about the structure and function of the brain, heart and lungs by comparing and contrasting between sheep, shark, cow and human organs.Please choose a Program Type & Name*Check all that apply. If you want a StarLab and an accompanying activity, then chose both, etc. StarLab: Starry Night (All ages); StarLab: Baby Bear (Pk-3rd); Demonstration: Stuffee's Lunchbox (Pk-3rd); Demonstration: Pop Fizz (Pk-4th); Demonstration: Young Issac Newton (3rd-6th); Table Top Fun, Standard Program: Skulls and Furs; Table Top Fun, Standard Program: Be a Conductor; Table Top Fun, Standard Program: Straw Rockets; Table Top Fun, Standard Program: Planispheres; Table Top Fun, Standard Program: Whirly Birds; Table Top Fun, Standard Program: Celestial Conga; Table Top Fun, Standard Program: Buzzing Balloons; Table Top Fun, Deluxe Program: Ooey Gooey Gloop; 60 minutes; Table Top Fun, Deluxe Program: Oreo Cookie Moon Phases; Table Top Fun, Deluxe Program: UV Bracelets & Sunprints; Table Top Fun, Deluxe Program: Organs on Parade;Do you want the program done more than one time?*YesNoNote: if the program you selected above only servesIf yes, how many consecutive (back to back) programs do you want?* Trips of 60 roundtrip miles or more incur a $1 per roundtrip Mileage Fee.Enter the number of miles that the Outreach address is from Sci-Port. (one way miles, not roundtrip miles)*You can use this link to get directions in miles from Sci-Port to the address of the Outreach: https://goo.gl/maps/ERabjRcyUsM9tBo66 Please add any comments or information that you feel we need to know about the participants, location, etc.Once you submit this Outreach Booking Form, we will contact you to review and discuss your booking request. We will also review your total cost including Mileage Fee if applicable.Please add any comments or information that you feel we need to know about the participants, location, special needs, etc.