MOSI
Registration

Outreach Program Booking

Fill out the form below to request an outreach program or quote. Have questions? For general information please call 813-987-6000 or toll free at 1-800-995-MOSI (6674)

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Outreach Program Registration Form

Bring MOSI to you with a MOSI in Motion Outreach Program! Choose from assembly shows, k-8 workshops, preK workshops, and even event tabling.

Group Contact Information

Group/School Name

Site Address

City

State

Zip

Contact First and Last Name

Contact Title/Role

Contact Phone

Email address

Reservation Information

Program Requesting

Assembly Programs

(select only if requesting an assembly)

Workshops

(select only if requesting a workshop)

Just Add MOSI

(select only if requesting a tabling station)

Preferred program date

Backup date

Grade Level(s) Participating

Number of Expected Participants

Number of Sessions Requested

Requested Session times (instructors will arrive 45 min prior to first show for set up, please allow for approximately 15 min between sessions)

What room will this program take place in?

Special Requests or Comments

Would you like to make this reservation now? Please send a quote firstYes, we are ready to reserve now

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