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Special Event Request Form

Mad Science Events are ideal for school assemblies, corporate events and community centers, and can be customized to suit any group size, budget or time frame. Let us know what you are looking for by completing the form below and we will contact you to discuss the details.


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


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.


Special Event Date(s)


Special Event Choice


Special Event Schedule

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

  • Shows are 60 minutes in length.
  • If you are scheduling multiple shows on the same day, allow 15 minutes in between each show.
  • Each show can accommodate up to 300 kids.
  • A modest travel fee may apply.
Start Time: Grade(s): # Kids: Room/Location:
1st Show:
2nd Show:
3rd Show:


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 of Cincinnati 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.



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