Open Wednesday-Monday 10:00am-5:00pm Closed Tuesdays. 2 North Sacramento Street Lodi, CA 95240 209-368-0WoW (0969)

WOW on Wheels Reservation Form





Contact Information

Your Name (required) 

Your Email (required)

Work Phone

Mobile Phone

School Information

School Name

Fax

School Phone

School Address

City/State/Zip/

Program Options

Preferred Date

Second Choice

Third Choice

Number of classes (1-4)

Preferred start times for each class*

Class 1

Class 2

Class 3

Class 4

*PreK lessons are 45 minutes and K-6 lessons are 60 minutes with the exception of Soda Bottle Rockets, which is 90 minutes. A minimum reset time of 15 minutes, not to exceed 60 minutes, is required between each lesson for our Educators.

Activity Choice

Class Information

Class 1 – Teacher’s NAME

Class 1 – Grade Level

Class 1 – Number of Students

Class 1 – Room Number



Class 2 – Teacher’s NAME

Class 2 – Grade Level

Class 2 – Number of Students

Class 2 – Room Number



Class 3 – Teacher’s NAME

Class 3 – Grade Level

Class 3- Number of Students

Class 3 – Room Number



Class 4 – Teacher’s NAME

Class 4 – Grade Level

Class 4- Number of Students

Class 4 – Room Number

0

Your Cart