Please complete the following information and then click the Submit button. A CHEC representative will contact you to confirm the details of your visit. Thank you!

School Information
School or Organization *
Street Address *
City *
Zip Code *
County *
School District *
School Type *
Grades Offered at School * Example: K-6

Contact Information
Prefix
Contact First Name *
Contact Last Name *
Title *
Email *
 
Phone * - -
Phone Type *
Teacher Full Name (If other than contact)

Student Group Information
Number of Students * Max = 60 at CHEC or 35 at your school
Grade Level *

Select an Event from either of the two lists.
Your Group Visits CHEC
-OR-
CHEC visits your school

Select the Event Date
  Date Time
Date/Time Choice #1 *
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Date/Time Choice #2 *
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Date/Time Choice #3 *
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If you need to request another time, please add to the Questions/Comments section.

Are there any other details to coordinate?
Lunch Room Request
Promo Code
Questions/Comments
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