Educators Organization & Contact Information i.e. Principle, Teacher, Executive Director, Program Manager, etc. Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Kids-N-Tech Club Request Desired Date and Time? List two possible dates and times. Group Size and Grade Level? How would you like to implement your Kids-N-Tech Club? After School Early Morning Lunch-time In Classroom Curriculum Choose Your Session(s). Rocketry Movie Making Catapult Lipbalm Shampoo Bubble Bath Spritz Lotion Robot Hand Race Cars Science Explosions Hour of Code Programming Robotics Mindcraft How did you hear about KIDS-N-TECH Clubs? Kidsntechnology.net Social media (Twitter, Face book, etc.) Media (news article, radio, etc.) From a teacher From a parent From a student Other Feel free to add any additional notes about yourself, your organization, and/or how you envision KIDS-N-TECH programs to work in your setting! Thank you for choosing Kids-N-Tech to bring innovative STEM programs to your facility. We will respond witih 24 hours of reeiving this form.