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200 North Main St | Bloomington, Illinois | 309-827-0428

Schedule a program using the form below.

1. About You
Please add your name.
Pronouns such as she/her, he/him, they/them, etc.
2. Contact Information
Please enter an email address.
Please enter a phone number.
3. Group Information

Please enter your school or group name, class or group size, and class grade (if applicable).

4. Program Information

Choose one to three date and time preferences

5. Additional Information