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Preschool Request Form


Please use this form to indicate your preferred workshop date(s) and topics(s). Once we have received your request, we will send you a confirmation letter via email.

If you are interested in scheduling a series of workshops and this request form will not accommodate your needs, please email or call (513) 793-6784.



Customer Information


Contact InformationIt is important that we are able to contact you if we have any questions. Please provide a phone number where you can be reached. Your email address will be used to send you a confirmation letter.


Preschool Workshop Date(s)


Preschool Workshop Choice


Preschool workshop Schedule

Before you schedule your preschool workshop(s), there are a few details you should be aware of:

  • Preschool workshops are 30 to 40 minutes in length.
  • If you are scheduling multiple preschool workshops on the same day, allow 15 minutes in between each workshop.
  • Each preschool workshop can accommodate up to 15 children. A $5.00 fee will be added for each child over 15
  • A modest travel fee may apply.
Start Time: Grade(s): # Kids: Room/Location:
1st workshop:
2nd workshop:
3rd workshop:


Payment Information

If your school/organization requires a contract (i.e. independent contractor agreement, consultant services contract, lecturer/presenter contract, etc.) please send the required paperwork to Mad Science as soon as possible at the following address: Mad Science 9471 Loveland-Madeira Rd Cincinnati, OH 45242. If a contract is required to generate payment, Mad Science reserves the right not to conduct the program on the scheduled date(s) and time if the proper contract is not in place.


This form is to request a preschool workshop. Clicking on the submit button will transfer your workshop request to
Mad Science of Cincinnati

Please do not submit this form for an inquiry only.  Send your inquiries to




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