Science in the Park Sign-up Question Title * 1. First and Last Name: Question Title * 2. Institution: Question Title * 3. Email Address: Question Title * 4. Work Phone: Question Title * 5. Address: Question Title * 6. City, State, & Zip Code: Question Title * 7. Is your institution an ASTC member? Yes No Question Title * 8. Please indicate the type of activity you are proposing. Demonstration Hands-on Interactive Question Title * 9. Please give a brief description of your demonstration or activity. We want to provide a diverse array of offerings for students. Question Title * 10. How long do you anticipate students will spend engaged with your activity or demonstration? Question Title * 11. How many six-foot tables will your activity require? 1 2 3 Question Title * 12. How many chairs will you need? 0 1 2 3 Question Title * 13. Will you require access to electricity? Yes No Question Title * 14. Will your activity require access to water? Yes No Question Title * 15. What is the height clearance required for your activity? Question Title * 16. Is there anything else organizers should know about your proposed activity? Done