– Little Science Lab

Adult First and Last Name*

First name(s) of child(ren) ages 3-5*

Email*

Phone number (for text message info and reminders)*

I would like to participate in Little Science Lab (choose one):*

In person at Everett Mall
By receiving an Activity Bag and joining the LIVE Zoom sessions

For Activity Bag participation only: What is your preferred bag pickup location?*

For grant-reporting purposes, we invite you to provide demographic information. Answering these questions is optional.

Zip code where you live:

Race/ethnicity of ADULT: (Select more than one category if applicable.)

American Indian or Alaska Native
Asian
Black or African American
Hispanic, Latino/a/x or Latin American
Middle Eastern or North African
Native Hawaiian or other Pacific Islander
White or European origin
Other/Prefer not to answer

Race/ethnicity of CHILDREN: (Select more than one category if applicable. If children are of different races/ethnicities, please explain in the box below.)

American Indian or Alaska Native
Asian
Black or African American
Hispanic, Latino/a/x or Latin American
Middle Eastern or North African
Native Hawaiian or other Pacific Islander
White or European origin
Other/Prefer not to answer

Additional race/ethnicity information:

How did you hear about this program?

Little Science Lab is here!
This hands-on, interactive program for preschoolers and their caring adults encourages children’s curiosity about the natural world and develops early science and math skills to get them ready for school.

Ages 3-5

Starts the week of October 4!

To sign up for Little Science Lab, please fill out the form below.

For grant-reporting purposes, we invite you to provide demographic information. Answering these questions is optional.

Little Science Lab is here! This hands-on, interactive program for preschoolers and their caring adults encourages children’s curiosity about the natural world and develops early science and math skills to get them ready for school.

Ages 3-5

Starts the week of October 4!

To sign up for Little Science Lab, please fill out the form below.

For grant-reporting purposes, we invite you to provide demographic information. Answering these questions is optional.

Little Science Lab is here!
This hands-on, interactive program for preschoolers and their caring adults encourages children’s curiosity about the natural world and develops early science and math skills to get them ready for school.