Summer Enviromobile Registration InstagramThis field is for validation purposes and should be left unchanged.Programs require 45-60 minutes A central location (science lab or community room) is best if available How many classes will you be registering?(Required)How many in your group?(Required)Select A Program(Required) Recycle Games – Ages 12 and under Environmental Bingo – Ages 12 and under Trivia-LCSWM Do You Know? – Ages 13 and up Environmental Bingo – Ages 13 and up Recycling Jeopardy! – Ages 13 and up Group Name(Required)Grade/Age Level(Required)Does your school require our educators to complete a background check?(Required)YesNoSchool/Group Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Preferred Start Time(Required)The Enviromobile is available between the hours of 9:00 AM and 2:00 PM CST Hours : Minutes AM PM AM/PM Please select 2 days due to group size.Preferred Date(Required) MM slash DD slash YYYY Please select two additional dates in the event your first choice is unavailable(Required) MM slash DD slash YYYY Please select two additional dates in the event your first choice is unavailable(Required) MM slash DD slash YYYY Contact Name(Required)Email(Required) Phone(Required)Any additional information that would help our visit go smoothly?CAPTCHA
