Full STEAM Ahead Kit Request Form

*'s are Required Fields.

Teacher's Name: *

School:

Grade: *

Teacher's Phone Number: *

Email: *

How often would you like to check out a kit? *
—Please choose an option—One Time VisitMonthly Checkout

Agreeing to the following terms is required:*

I agree to let a youth services library staff member introduce each kit to my class for at least 30 minutes and to fill out a Teacher Feedback Form at the conclusion of my time with each kit. *Agreed