Please use this form to begin the process of scheduling a community program for your group. NOTE: This is an inquiry form only, to assist in the scheduling process. You will be contacted by one of our staff to set a date for the actual visit.

*First name
*Last name
*Email
*Phone
*Organization
Site address  
*Street
*City
(Preference will be given to locations in Boston.)

*Zip code
*Number of children participating
*Grade levels of children (enter range if appropriate)
*Number of adults (1 chaperone required per 10 youth)
*Is your organization tax exempt?
*Is your program a drop-in program?
*Have you applied to Community Programs before?
*Is there a fee for attending your program?
If yes, do you offer scholarships?
*Can you provide parking for the duration of the program?
*What demographic or audience do you serve?
   
   
*Describe the mission of your organization:
 
*Please describe how an outreach to your program will benefit your group from an educational standpoint:
 
Select preferred program:
First choice Second choice Third choice