Sparking Imaginative Learning
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Workshop 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.




Workshop Date(s)




Workshop Choice 




Workshop(s) Schedule

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

  • Workshops are 45 to 60 minutes in length.
  • If you are scheduling multiple workshops on the same day, allow 15 minutes in between each show.
  • Each workshop can accommodate up to 20 kids. (There is a $5.00 fee for each child over 20)
  • A modest travel fee may apply. 
  •  Workshops are generally conducted during the school day. If you are interested in after school enrichment, please email or call (513) 793-6784
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.




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