Ballyhoura Science Week Booking Form

Contact Name: (required)

Contact Number: (required)

Email Address: (required)

Postal Home Address (required for booking ’Nutty Scientists’ event in order to receive an Experiment Activity Kit):

Nutty Scientists:

SOLD OUT!

National Reptile Zoo:

not interested3pm

Anyone4Science:

not interested11am12pm1pm4pm5pm

Dino Down-Under:

not interested11am12pm1pm3pm5pm

How did you hear about the event? (required)

Would you like to receive emails for future events? (required)

YesNo

Can we contact you for feedback after the event? (required)

YesNo