DLR - DLR_School_Lab - Anmeldeformular

Application form to visit DLR_School_Lab and DLR_Project_Lab Neustrelitz

Be sure to fill out all the fields marked with an *.
School address
School name:*
Street address:*
Postal code and city:*
Contact
Name:*
Telephone number:*
E-Mail:*

School type:*
Class level:*
Particular course:
Number of participating students:*
Desired program:*	one or several-day DLR_School_Lab program (grades 9-13) one-day DLR_Project_Lab program (grades 4-8)

Desired date:*
Planned time of arrival:*
Planned time of departure:*
Travel by:	public transportationown vehicle

Any comments: