ROCKVILLE SCIENCE DAY 2008
Sunday, April 27, 2008, Noon to 5:00 p.m.
Set-up: Saturday, April 26, 4 to 6 p.m. & Sunday, April 27 10 a.m. to noon
Montgomery College, Rockville Campus
NAME (Organization or individual):
____________________________________________
NAME OF CONTACT PERSON:
_____________________________________________
ADDRESS:________________________________________________________________
__________________________________________________________________________
PHONE # (Evening)_______________________
(Day)___________________________
FAX: _________________________ E-MAIL:
_________________________________
NAMES TO APPEAR ON THE
PROGRAM:_______________________________________________________________
TITLE OF YOUR EXHIBIT:
__________________________________________________________________________
TYPE OF EXHIBIT:
[_] Demonstration
[_] Hands-on
[_] Performance
DESCRIPTION: (Indicate
the science involved, and the age groups of your target audience)
[_] 5 to 10 yrs
[_] 11 to 20 yrs
[_] Over 21 yrs
SPACE NEEDED: (Tables are 6 ft X 2.5
ft)_____________________________________
DESCRIBE ANY SPECIAL NEEDS: [_] Running water
[_] Drainage [_] Electricity
PLEASE RETURN THIS FORM BY FEBRUARY
15, 2008 TO:
Bob Ekman, 524 Carr Ave, Rockville, MD 20850
Or to e-mail bob.ekman@att.net
Or FAX to 301-240-6855
For more information: call Phyllis at
301-763-3588 or go to:
www.rockvillescience.org |